Healthcare Provider Details

I. General information

NPI: 1114942869
Provider Name (Legal Business Name): GOOD SAMARITAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 PRAIRIE VIEW PL
KEARNEY NE
68845-8300
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: 308-865-2000
  • Fax: 308-865-2853
Mailing address:
  • Phone: 308-865-7900
  • Fax: 308-865-2913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number070002
License Number StateNE

VIII. Authorized Official

Name: NICK O'TOOL
Title or Position: CFO - CHI HEALTH
Credential:
Phone: 402-717-8118