SAMARITAN HOSPITAL (NPI# 1235409780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235409780 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL |
| Other Organization Name | SAMARITAN CLINIC |
| Practice Address |
1550 S Pioneer Way Ste 115 Moses Lake WA 98837-4618 |
| Mailing Address |
801 E Wheeler Rd Moses Lake WA 98837-1820 |
| Practice Telephone | 5097939773 |
| Mailing Telephone | 5097655606 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Authorized Official Name | ANDREW BAIR (CEO) |
| Authorized Official Telephone | 5097939700 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMARITAN HOSPITAL |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE - RURAL HEALTH | 503864 | 01 |
| Other Name | Type Code |
|---|---|
| Samaritan Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326318874 | Samaritan Hospital | Family Medicine | 1550 S Pioneer Way Ste 115, Moses Lake, WA 98837-4618 | 2011-12-30 |
| 1154605632 | Samaritan Hospital | Psychiatric Unit | 122 1st St, 3e, Troy, NY 12180-4430 | 2011-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL | 801 E Wheeler Rd, Moses Lake, WA 98837-1820 |
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL OF TROY, NEW YORK | 2215 Burdett Ave, Troy, NY 12180-2466 |
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL SCHOOL OF NURSING ALUMNI INC | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Street Address |
1550 S PIONEER WAY STE 115 |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-4618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619086766 | Grant County Public Hospital District. No. 1 | Family Medicine | 1550 S Pioneer Way Ste 115, Moses Lake, WA 98837-4618 | 2006-08-30 |
| 1326318874 | Samaritan Hospital | Family Medicine | 1550 S Pioneer Way Ste 115, Moses Lake, WA 98837-4618 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417395625 | Lexie Lynn Zuver | Family Medicine | 1022 S Pioneer Way Ste A, Moses Lake, WA 98837-2271 | 2013-06-10 |
| 1619086766 | Grant County Public Hospital District. No. 1 | Family Medicine | 1550 S Pioneer Way Ste 115, Moses Lake, WA 98837-4618 | 2006-08-30 |
| 1770595282 | .andrea Michelle Carter | Family Medicine | 1550 S Pioneer Way Suite 115, Samaritan Clinic, Moses Lake, WA 98837 | 2006-08-13 |
| 1942248109 | Thomas A Thorn | Family Medicine | 821 E Broadway Ave Ste 1, Moses Lake, WA 98837-5934 | 2006-06-02 |
| 1477507630 | Thomas A Thorn Md | Family Medicine | 1036 W Ivy Ave, Moses Lake, WA 98837-2049 | 2006-05-20 |
| 1366448359 | Irene Kimivo Kimura | Family Medicine | 821 E Broadway Ave, Suite 1, Moses Lake, WA 98837-5934 | 2005-06-23 |
| 1043776883 | Omni Staffing Services Inc | Family Medicine | 1530 Pilgrim St, Moses Lake, WA 98837-4623 | 2019-02-18 |
| 1861963936 | Philia Healthcare Pllc | Family Medicine | 1530 Pilgrim St, Moses Lake, WA 98837-4623 | 2018-12-16 |
| 1407366891 | Aion Womens Health Sc | Family Medicine | 1022 S Pioneer Way Ste A, Moses Lake, WA 98837-2271 | 2017-10-11 |
| 1790214500 | Stephen Richard Noorlander | Family Medicine | 1550 S Pioneer Way, Moses Lake, WA 98837-4613 | 2017-06-06 |
| Find all providers in MOSES LAKE | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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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.