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NPI Code Detail

MEDICARE: GOOD SAMARITAN HOSPITAL, L.P.

MEDICARE: GOOD SAMARITAN HOSPITAL, L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376595777
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD SAMARITAN HOSPITAL, L.P.
Provider Business Mailing Address
First Line : 2425 SAMARITAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-3908
Country : US
Telephone Number : 408-559-2011
Fax Number : 408-559-2662
Provider Business Practice Location Address
First Line : 2425 SAMARITAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-3908
Country : US
Telephone Number : 408-559-2011
Fax Number : 408-559-2662
Authorized Official
Title or Position : CFO
Name : JAY GRAHAM
Credential :
Telephone Number : 408-559-2458
Provider Enumeration Date : 05/16/2006
Last Update Date : 12/10/2020

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Practice Fax: 408-559-2662

Directions to “GOOD SAMARITAN HOSPITAL, L.P. ” Practice Location

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