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General NPI Number Information
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NPI Number | 1346209137
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Entity Type | Organization
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Legal Business Name | ST. MARY'S GOOD SAMARITAN HOSPITAL, INC.
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5401 LAKE OCONEE PKWY
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City | GREENSBORO
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State | GA
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Zip | 30642-4232
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Country | US
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Telephone | 706-453-7331
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Fax | 706-453-2812
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Provider Business Mailing Address
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Address Line | 5401 LAKE OCONEE PKWY
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City | GREENSBORO
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State | GA
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Zip | 30642-4232
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Country | US
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Telephone | 706-453-7331
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Fax | 706-453-2812
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | STONISH PIERCE
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Credential |
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Telephone | 706-389-3930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 066-638
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 066623
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License Number State | GA
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