GOOD SAMARITAN HOSPITAL (NPI# 1114942869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114942869 |
Entity Type | Organization |
Organization Name | GOOD SAMARITAN HOSPITAL |
Other Organization Name | CHI HEALTH RICHARD YOUNG BEHAVIORAL HEALTH |
Practice Address |
1755 Prairie View Pl Kearney NE 68845-8300 |
Mailing Address |
10 E 31st St P.o. Box 1990 Kearney NE 68847-2926 |
Practice Telephone | 3088652000 |
Practice Fax Number | 3088652853 |
Mailing Telephone | 3088657900 |
Mailing Fax Number | 3088652913 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2017-05-03 |
Authorized Official Name | DR. CLIFF A ROBERTSON (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4023434420 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | GOOD SAMARITAN HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | 070002 | NE | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS | 00172 | 01 | |
MT | 4106674 | 05 | |
KS | 100100220B | 05 |
Other Name | Type Code |
---|---|
CHI HEALTH RICHARD YOUNG BEHAVIORAL HEALTH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659830776 | Good Samaritan Hospital | Pharmacy | 1245 Wilshire Blvd Ste 201, Los Angeles, CA 90017-4812 | 2019-03-18 |
1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
1932503653 | Good Samaritan Hospital | General Acute Care Hospital | 32430 Nautilus Dr, Rancho Palos Verdes, CA 90275-6002 | 2014-10-09 |
1295163293 | Good Samaritan Hospital | General Acute Care Hospital | 4th and Walnut St., Good Samaritan Hospital, Lebanon, PA 17042-9171 | 2013-10-29 |
1184930737 | Good Samaritan Hospital | Skilled Nursing Facility | 714 S Eickhoff Rd, Evansville, IN 47712-9060 | 2010-08-20 |
1164757803 | Good Samaritan Hospital | General Acute Care Hospital | 235 Hillcrest Dr, Cincinnati, OH 45215-2609 | 2009-10-14 |
1811146681 | Good Samaritan Hospital | Skilled Nursing Facility | 1701 Mcdowell Rd, Evansville, IN 47712-5431 | 2008-09-16 |
1265696231 | Good Samaritan Hospital | General Acute Care Hospital | 531 Belmonte Park N Apt 608, Dayton, OH 45405-4713 | 2008-07-17 |
1457540387 | Good Samaritan Hospital | Family Medicine | 115 N Boone St, Olney, IL 62450-2109 | 2007-10-16 |
1487731477 | Good Samaritan Hospital | Skilled Nursing Facility | 801 E Illinois St, Petersburg, IN 47567-8026 | 2006-11-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
Washington State Corporations | GOOD SAMARITAN HOSPITAL | 407 14th Ave Se, Puyallup, WA 98372 |
Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL AUXILIARY | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL FOUNDATION | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL FOUNDATION, CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97339 |
Indiana Business Entities | GOOD SAMARITAN HOSPITAL FOUNDATION, INC. | 520 S. 7th St., Vincennes, IN 47591 |
New York State Corporations | GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 1000 Montauk Highway, West Islip, New York 11795 |
System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL OF CINCINNATI | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
New York State Corporations | GOOD SAMARITAN HOSPITAL OF SUFFERN, N.Y. | Pres/chief Executive Officer, 255 Lafayette Ave, Suffern, New York 10901 |
Street Address |
1755 PRAIRIE VIEW PL |
City | KEARNEY |
State | NE |
Zip Code | 68845-8300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053343236 | Good Samaritan Hospital | Psychiatry & Neurology | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2006-07-07 |
1619522489 | Angela Lee Cavill | Counselor | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2019-08-07 |
1447601810 | Ayla Gregg | Registered Nurse | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2016-06-28 |
1013326685 | Bridget Danielle Mostek | Counselor | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2014-08-07 |
1659617793 | Chi National Home Care | Hospice Care, Community Based | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2012-12-18 |
1932331634 | Roni Renae Norman | Counselor | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2009-08-13 |
1336160456 | Yajuan Zhong Leonard | Nurse Practitioner | 1755 Prairie View Pl, Kearney, NE 68845-8300 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
Find all providers in zip 68845 |
Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336184019 | Good Samaritan Hospital | Psychiatric Unit | 10 E 31st St, Box 1990, Kearney, NE 68847-2926 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396969499 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 415 S 25th Ave, Omaha, NE 68131-3654 | 2007-04-12 |
1386712925 | Nebraska Medical Center | Psychiatric Unit | 987400 Nebraska Medical Ctr Fl 7, 7th Floor Uh (7psy), Omaha, NE 68198-7400 | 2006-12-01 |
1073599189 | Crane River Clinic | Psychiatric Unit | 3280 Woodridge Blvd, Suite 260, Grand Island, NE 68801-7481 | 2005-12-20 |
1144709122 | Methodist Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2018-08-09 |
1720441074 | Fremont Health | Psychiatric Unit | 450 E 23rd St, Fremont, NE 68025-2387 | 2016-04-04 |
1457745119 | Fillmore County Hospital | Psychiatric Unit | 1900 F St, Geneva, NE 68361-2229 | 2015-03-20 |
1427283795 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2009-05-15 |
1518091230 | Children's Hospital | Psychiatric Unit | 8200 Dodge St, Children's Hospital - Eating Disorders Program, Omaha, NE 68114-4113 | 2007-03-15 |
1326126509 | Alegent Health Immanuel Medical Center | Psychiatric Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-11-02 |
1134216773 | Bryan Medical Center | Psychiatric Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-06 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.