GOOD SAMARITAN HOSPITAL (NPI# 1972532372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972532372 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | CHI HEALTH GOOD SAMARITAN |
| Practice Address |
10 E 31st St Kearney NE 68847-2926 |
| Mailing Address |
10 E 31st St P.o. Box 1990 Kearney NE 68847-2926 |
| Practice Telephone | 3088657900 |
| Practice Fax Number | 3088652913 |
| Mailing Telephone | 3088657900 |
| Mailing Fax Number | 3088652913 |
| Enumeration Date | 2006-06-30 |
| 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 | 273Y00000X | Rehabilitation Unit | 070001 | NE | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 453 | 01 |
| Other Name | Type Code |
|---|---|
| CHI HEALTH GOOD SAMARITAN | 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 |
| 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 |
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC. | 520 S 7th St, Vincennes, IN 47591-1038 |
| Street Address |
10 E 31ST ST |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835376 | Debra J Hansen | Pharmacist | 10 E 31st St, Kearney, NE 68847-2926 | 2005-10-20 |
| 1528685245 | Brooke N Greisen | Nurse Anesthetist, Certified Registered | 10 E 31st St, Kearney, NE 68847-2908 | 2020-06-29 |
| 1134783772 | Pamela Meysenburg | Pharmacist | 10 E 31st St, Kearney, NE 68847-2908 | 2019-04-29 |
| 1659832426 | Devin James Scott | Registered Nurse | 10 E 31st St, Kearney, NE 68847-2908 | 2019-03-26 |
| 1417413881 | Nicholas Reed | Physician Assistant | 10 E 31st St, Kearney, NE 68847-2908 | 2019-02-11 |
| 1003393703 | Adetinuwe Majekodunmi | Anesthesiology | 10 E 31st St, Kearney, NE 68847-2908 | 2018-07-25 |
| 1558873356 | Kaitlin Thunker | Physical Therapist | 10 E 31st St, Kearney, NE 68847-2908 | 2017-11-02 |
| 1902321375 | Michaela Sherbeck | Clinical Nurse Specialist | 10 E 31st St, Kearney, NE 68847-2908 | 2017-08-07 |
| 1861915845 | Kristen Hiatt | Nurse Practitioner | 10 E 31st St, Kearney, NE 68847-2908 | 2017-07-20 |
| 1366971319 | Christopher Joseph Souchek | Nurse Anesthetist, Certified Registered | 10 E 31st St, Kearney, NE 68847-2908 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962689661 | Saint Francis Medical Center | Rehabilitation Unit | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2008-01-24 |
| 1245445790 | Creighton Saint Joseph Regional Healthcare System, L.L.C. | Rehabilitation Unit | 3802 Raynor Pkwy, Bellevue, NE 68123-6048 | 2007-05-10 |
| 1902923014 | Key Rehabilitation Inc | Rehabilitation Unit | 2300 W Capital Ave, Grand Island, NE 68803-2003 | 2007-03-23 |
| 1245361666 | The Mary Lanning Memorial Hospital Association | Rehabilitation Unit | 715 N Saint Joseph Ave, Hastings, NE 68901-4497 | 2007-03-08 |
| 1427133917 | Alegent Health Immanuel Medical Center | Rehabilitation Unit | 6901 N 72nd St, Omaha, NE 68122-1709 | 2006-10-25 |
| 1043390438 | Bryan Medical Center | Rehabilitation Unit | 2300 S 16th St, Lincoln, NE 68502-3780 | 2006-10-17 |
| 1659461895 | The Nebraska Methodist Hospital | Rehabilitation Unit | 8303 Dodge Street, Omaha, NE 68114 | 2006-10-16 |
| 1013012442 | Faith Regional Health Services | Rehabilitation Unit | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2006-09-13 |
| 1609989979 | Regional West Medical Center | Rehabilitation Unit | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-17 |
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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.