GOOD SAMARITAN HOSPITAL (NPI# 1336184019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336184019 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | CHI HEALTH GOOD SAMARITAN |
| Practice Address |
10 E 31st St Box 1990 Kearney NE 68847-2926 |
| Practice Telephone | 3088657100 |
| Practice Fax Number | 3088652913 |
| Mailing Telephone | 3088657100 |
| Mailing Fax Number | 3088652913 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | DR. CLIFF ROBERTSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4023434420 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 070001 | NE | Hospital Units |
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
070001 | NE | Transportation Services |
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
070001 | NE | Transportation Services |
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
070001 | NE | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 070001 | NE | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS - 1500 FORM | 3419 | 01 | |
| KS | 0130954301 | 05 | |
| WY | 112385800 | 05 | |
| BLUE CROSS | 0034 | 01 | |
| NE | 100259643-00 | 05 |
| 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 |
| 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 |
10 E 31ST ST BOX 1990 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1053720276 | Kearney Regional Medical Center | General Acute Care Hospital | 804 22nd Ave, Kearney, NE 68845-2206 | 2014-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1972042059 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 1911 Pacific Dr, Lincoln, NE 68506-2311 | 2017-02-22 |
| 1003362997 | Chi Health St. Elizabeth | General Acute Care Hospital | 555 S. 70th St., Lincoln, NE 68510 | 2016-08-30 |
| 1316221385 | Bryanlgh West Medical Center | General Acute Care Hospital | 2046 Herel St, Lincoln, NE 68512-3682 | 2011-10-07 |
| 1194039529 | University of Nebraska Medical Center | General Acute Care Hospital | 855 N 82nd Plz, #47, Omaha, NE 68114-3591 | 2010-07-27 |
| 1710142195 | Antelope Memorial Hospital | General Acute Care Hospital | 102 West 9th St, Box 229, Neligh, NE 68756-0229 | 2008-07-24 |
| 1548429962 | Unmc Phycisians | General Acute Care Hospital | Nebraska Medical Center Thoracic Surgery, 982315 Nebraska Medical Center, Omaha, NE 68198-0001 | 2008-06-02 |
| 1861687907 | Bryan Lgh Hospital | General Acute Care Hospital | 2300 South 16th, Lincoln, NE 68502 | 2007-09-12 |
| 1902014764 | Nancy S Gondringer | General Acute Care Hospital | 7216 Parkridge Cir, Lincoln, NE 68516-4397 | 2007-05-17 |
| 1437375805 | University of Nebraska Medical Center | General Acute Care Hospital | Unmc, Omaha, NE 68198-0001 | 2007-04-17 |
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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.