GOOD SAMARITAN HOSPITAL (NPI# 1417949892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417949892 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | GOOD SAMARITAN HOME HEALTH & HOSPICE |
| Practice Address |
1317 E Main Puyallup WA 98372-3136 |
| Mailing Address |
Po Box 1247 Puyallup WA 98371-0192 |
| Practice Telephone | 2536977600 |
| Practice Fax Number | 2536919598 |
| Mailing Telephone | 2536977600 |
| Mailing Fax Number | 2536975191 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEN MCKINNEY (DIRECTOR) |
| Authorized Official Telephone | 2536977600 |
| Authorized Official Credential | MS,RN,CHCE,CDHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | IS302 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE HIT | GO4586 | 01 |
| WA | CIGNA MEDICARE | 0543130001 | 01 |
| WA | PREMERA | 1258 | 01 |
| WA | 7330079 | 05 | |
| WA | MOLINA | WA2923 | 01 |
| WA | CHAMPUS HOME HEALTH | 0004 | 01 |
| Other Name | Type Code |
|---|---|
| Good Samaritan Home Health & Hospice | 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 |
| Indiana Business Entities | GOOD SAMARITAN HOSPITAL | Formed Pursuant To Ic 16-22-8-6, "other Entity" Under 23-15-1-5-, To Provide for Assumed Name, ., IN |
| 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 |
| Street Address |
1317 E MAIN |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959546 | Option Care Enterprises, Inc. | Home Infusion | 728 134th St Sw Ste 128, Everett, WA 98204-5322 | 2020-10-12 |
| 1568028207 | Above Home Health LLC | Home Infusion | 2962 Limited Ln Nw Ste A, Olympia, WA 98502-4550 | 2019-05-17 |
| 1659979730 | Option Care Enterprises, Inc. | Home Infusion | 13035 Gateway Dr S Ste 131, Tukwila, WA 98168-3395 | 2020-10-12 |
| 1316545403 | Option Care Enterprises, Inc. | Home Infusion | 3310 N Pines Rd, Spokane Valley, WA 99206-4612 | 2020-10-12 |
| 1043865983 | Vibrant Healthcare Staffing & Homecare | Home Infusion | 5401 S Tacoma Way, Tacoma, WA 98409-4312 | 2019-08-07 |
| 1568897437 | Central Washington Health Services Association | Home Infusion | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2013-09-10 |
| 1295965903 | Crossroads Healthcare Inc | Home Infusion | 1111 Main St, Suite 555, Vancouver, WA 98660-2990 | 2009-07-16 |
| 1902949837 | Vna Home Health Care Services | Home Infusion | 3901 E Main Ave, Spokane, WA 99202-4736 | 2007-02-14 |
| 1972600401 | Swedish Health Services | Home Infusion | 5701 6th Ave S, Suite 404, Seattle, WA 98108-2568 | 2006-09-19 |
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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.