GOOD SAMARITAN PHYSICIAN SERVICES NPI 1760510424

NPI Information

  • NPI: 1760510424
  • Provider Name: GOOD SAMARITAN PHYSICIAN SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WELLSPAN FAMILY MEDICINE - ELCO
  • CLIA Number: 39D0186323
  • Address: 6 PERRI AVE
    MYERSTOWN, PA
    ZIP 17067
  • Phone: (717) 949-6581

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NPI Details

GOOD SAMARITAN PHYSICIAN SERVICES is a family medicine in Myerstown, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOOD SAMARITAN PHYSICIAN SERVICES NPI is 1760510424. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Family Medicine - Elco.

The provider's business location address is:

6 PERRI AVE
MYERSTOWN, PA
ZIP 17067-200
Phone: (717) 949-6581
Fax: (717) 949-2816

The provider's authorized official is Jody M Boger .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 270-7780.

The CLIA number assigned to this NPI record is 39D0186323 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/2/2007 and was last updated on 10/4/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyNo
2208000000XPediatricsNo
3207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001864024MEDICAIDPENNSYLVANIA
2047659MEDICARE PINPENNSYLVANIA

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: 11/21/2025

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