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GOOD SAMARITAN COMMUNITY HEALTHCARE NPI 1437102399


NPI Information

NPI: 1437102399
Provider Name: GOOD SAMARITAN COMMUNITY HEALTHCARE

Doing Business As: GOOD SAMARITAN CLINICS

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
16515 MERIDIAN E
SUITE 104A
PUYALLUP, WA
ZIP 98375
Phone: (253) 697-3030
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GOOD SAMARITAN COMMUNITY HEALTHCARE is a pain medicine anesthesiology in Puyallup, WA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. GOOD SAMARITAN COMMUNITY HEALTHCARE NPI is 1437102399. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Good Samaritan Clinics.

The provider's business location address is:

16515 MERIDIAN E
SUITE 104A
PUYALLUP, WA
ZIP 98375-251
Phone: (253) 697-3030
Fax: (253) 697-8190

The provider's authorized official is John R Long .
The authorized official title is Ceo and has the following contact phone number (253) 697-2102.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes
2207Q00000XFamily MedicineX
3207R00000XInternal MedicineX
4207RN0300XInternal MedicineNephrologyX
5207RP1001XInternal MedicinePulmonary DiseaseX
6207V00000XObstetrics & GynecologyX
7207X00000XOrthopaedic SurgeryX
8363LP0200XNurse PractitionerPediatricsX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17121940MEDICAIDWASHINGTON
20122524OTHERWASHINGTONL & I NUMBER
33006G0OTHERWASHINGTONREGENCE GROUP RIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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