Healthcare Provider Details

I. General information

NPI: 1972532372
Provider Name (Legal Business Name): GOOD SAMARITAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 31ST ST
KEARNEY NE
68847-2926
US

IV. Provider business mailing address

10 E 31ST ST P.O. BOX 1990
KEARNEY NE
68847-2926
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-7900
  • Fax: 308-865-2913
Mailing address:
  • Phone: 308-865-7900
  • Fax: 308-865-2913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number070001
License Number StateNE

VIII. Authorized Official

Name: EVERT KUIPER
Title or Position: CEO - CHI HEALTH
Credential:
Phone: 402-343-4420