Wellspan Cardiothoracic Surgery - Lebanon
LBN: Good Samaritan Physician Services
Wellspan Cardiothoracic Surgery - Lebanon is an health care organization with primary practice located at 4Th & Walnut Streets 2Nd Floor, Lebanon PA 17042-6123. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Good Samaritan Physician Services can be contacted via phone (717) 270-3751, or through Boger, Jody M via phone (717) 270-7780.
Contact Information
Primary practice address
4Th & Walnut Streets 2Nd Floor
Lebanon PA 17042-6123
Phone: (717) 270-3751
Fax: (717) 270-3754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1407096951 |
|---|---|
| LBN Legal business name | Good Samaritan Physician Services |
| DBA Doing business as | Wellspan Cardiothoracic Surgery - Lebanon |
| Authorized official | Boger, Jody M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 24th, 2009 |
| Last updated | Oct 5th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407096951 | NPPES |
| Pennsylvania | MEDICAID | 001864024 |
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