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NPI 1114922721

NPI 1114922721 : GOOD SAMARITAN HOSPITAL : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1114922721
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOOD SAMARITAN HOSPITAL 
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Dates
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    Enumeration Date     |    06/20/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    901 OLIVE DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93308-4137
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    Country              |    US
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    Telephone            |    661-215-7652
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    Fax                  |    661-393-6410
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Provider Business Mailing Address
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    Address Line         |    901 OLIVE DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93308-4137
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    Country              |    US
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    Telephone            |    661-215-7652
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    Fax                  |    661-393-6410
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |    MR. RICK  HURST 
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    Credential           |    
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    Telephone            |    661-215-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    050000146
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    283Q00000X
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    Taxonomy Name        |    Psychiatric Hospital
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    License Number       |    050000146
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    License Number State |    CA
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