GOOD SAMARITAN HOSPITAL (NPI# 1609868413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609868413 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Other Organization Name | MULTICARE GOOD SAMARITAN HOME HEALTH |
| Practice Address |
3901 S Fife St Tacoma WA 98409-7309 |
| Mailing Address |
Po Box 5200 Tacoma WA 98415-0200 |
| Practice Telephone | 2533016400 |
| Practice Fax Number | 2533016528 |
| Mailing Telephone | 2533016400 |
| Mailing Fax Number | 2533016528 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-08-12 |
| Authorized Official Name | JOHN R LONG (PRESIDENT) |
| Authorized Official Telephone | 2533016400 |
| Authorized Official Credential | MS,RN,CHCE,CDHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | IS302 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MOLINA | WA2923 | 01 |
| WA | CHAMPUS HOME HEALTH | 0004 | 01 |
| WA | CIGNA MEDICARE | 0439370003 | 01 |
| WA | REGENCE HOME HEALTH | GO1222 | 01 |
| WA | 9007618 | 05 | |
| WA | 9166505 | 05 | |
| WA | PREMERA | 1258 | 01 |
| Other Name | Type Code |
|---|---|
| MultiCare Good Samaritan Home Health | 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 |
3901 S FIFE ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177747 | Kelly Jeane Smith | Registered Nurse | 3901 S Fife St, Tacoma, WA 98409-7309 | 2020-09-03 |
| 1205308475 | Rebecca Ann Snider | Peer Specialist | 3901 S Fife St, Tacoma, WA 98409-7309 | 2018-12-27 |
| 1275647133 | Multicare Health System | Home Health | 3901 S Fife St, Tacoma, WA 98409 | 2006-08-18 |
| 1902818800 | Multicare Health Systems | Hospice, Inpatient | 3901 S Fife St, Tacoma, WA 98409-7309 | 2006-08-12 |
| 1730154279 | Tonia L Marine | Nurse Practitioner | 3901 S Fife St, Tacoma, WA 98409-7309 | 2006-02-20 |
| 1760474241 | Multicare Health System | Hospice Care, Community Based | 3901 S Fife St, Tacoma, WA 98409-7309 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710410964 | Emerald Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204a, Tacoma, WA 98409-7702 | 2017-04-05 |
| 1689870529 | Advanced Health Care | Home Health | 7047 S D St, Suite A, Tacoma, WA 98408-6112 | 2007-06-26 |
| 1487868451 | Res-care Washington, Inc. | Home Health | 747 St Helens Ave, Suite 200, Tacoma, WA 98402-3719 | 2007-05-09 |
| 1962549154 | Catholic Community Services of Western Washington | Home Health | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-01-30 |
| 1801825187 | Gentiva Certified Healthcare Corp. | Home Health | 4020 S 56th St, Suite 101, Tacoma, WA 98409-2615 | 2006-06-30 |
| 1033104575 | Advanced Health Care, Inc. | Home Health | 9116 Gravelly Lake Dr Sw, Suite B1, Tacoma, WA 98499-3148 | 2005-09-12 |
| 1699311506 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2019-11-26 |
| 1881023026 | Envision Home Health of Washington LLC | Home Health | 1818 S Union Ave Ste 1a, Tacoma, WA 98405 | 2013-11-07 |
| 1912242678 | Symbol Healthcare, Inc. | Home Health | 4002 Tacoma Mall Blvd Ste 204, Tacoma, WA 98409-7702 | 2012-12-06 |
| 1407190614 | Maxim Healthcare Services, Inc | Home Health | 4301 S Pine St, 5th Floor, Tacoma, WA 98409-7264 | 2012-11-15 |
| Find all providers in TACOMA | ||||
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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.