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Contact Information

GOOD SAMARITAN PHYSICIAN SERVICES
840 TUCK ST
LEBANON, PA17042-7477
 Phone: 717-675-2545
 Fax: 717-675-2550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for GOOD SAMARITAN PHYSICIAN SERVICES

NPI Number 1598007783
LBN Legal business name GOOD SAMARITAN PHYSICIAN SERVICES
Authorized official JODY BOGER - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2013
Last updated 10/04/2016 - About 10 years ago
Identifiers
PA Medicaid 001864024
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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