Good Samaritan Wound Care Associates

LBN: Good Samaritan Physician Services
Good Samaritan Wound Care Associates is an health care organization with primary practice located at 840 Tuck St , Lebanon PA 17042-7477. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Good Samaritan Physician Services can be contacted via phone (717) 675-2545, or through Boger, Jody M via phone (717) 270-7780.

Contact Information

Primary practice address
840 Tuck St Lebanon PA 17042-7477
Fax: (717) 675-2550
Website:
Authorized official contact:
Name: Boger, Jody M

Profile Details

NPI number 1598007783
LBN Legal business name Good Samaritan Physician Services
DBA Doing business as Good Samaritan Wound Care Associates
Authorized official Boger, Jody M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2013
Last updated Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598007783 NPPES
Pennsylvania MEDICAID 001864024

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