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NPI Code Detail

MEDICARE: GOOD SAMARITAN SERVICE COORDINATION AGENCY

MEDICARE: GOOD SAMARITAN SERVICE COORDINATION AGENCY
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1881122067
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD SAMARITAN SERVICE COORDINATION AGENCY
Provider Business Mailing Address
First Line : 1500 WALNUT ST STE 700
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-3504
Country : US
Telephone Number : 267-225-3934
Fax Number :
Provider Business Practice Location Address
First Line : 1500 WALNUT ST STE 700
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-3504
Country : US
Telephone Number : 267-225-3934
Fax Number : 215-545-2579
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. NIGEL S SCOTT
Credential :
Telephone Number : 267-225-3934
Provider Enumeration Date : 06/01/2017
Last Update Date : 04/23/2018

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Directions to “GOOD SAMARITAN SERVICE COORDINATION AGENCY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.