GOOD SAMARITAN HOSPITAL


Address: 1755 Prairie View Pl, Kearney, NE 68845-8300
Phone: 3088652000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit 070002 NE Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS 00172 01
MT 4106674 05
KS 100100220B 05

Other Provider/Organization Names

Other Name Type Code
CHI HEALTH RICHARD YOUNG BEHAVIORAL HEALTH Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1755 PRAIRIE VIEW PL
City KEARNEY
State NE
Zip Code 68845-8300

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336184019 Good Samaritan Hospital Psychiatric Unit 10 E 31st St, Box 1990, Kearney, NE 68847-2926 2006-06-18

Providers in the same taxonomy and state

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
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Competitor

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City KEARNEY
Zip Code 68845

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Dataset Information

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.

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