Good Samaritan Center

LBN: Acv Health Services L L C
Good Samaritan Center is an health care organization with primary practice located at 10676 Marvin Jones Blvd , Live Oak FL 32064-8242. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Acv Health Services L L C can be contacted via phone (386) 658-5550, or through Carter, Crag A via phone (386) 658-5500.

Contact Information

Primary practice address
10676 Marvin Jones Blvd Live Oak FL 32064-8242
Phone: (386) 658-5550
Fax: (386) 658-5666
Website:
Map and Directions
Authorized official contact:
Name: Carter, Crag A
Phone: (386) 658-5500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1178096 Florida

Profile Details

NPI number 1336253020
LBN Legal business name Acv Health Services L L C
DBA Doing business as Good Samaritan Center
Authorized official Carter, Crag A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336253020 NPPES
Florida MEDICAID 026876300
Florida Other L3Z

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