MEDICARE: THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1457964041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GOOD SAMARITAN HOSPITAL OF CINCINNATI, OHIO

Provider Business Mailing Address
First Line	:	4685 FOREST AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-3397
Country	:	US
Telephone Number	:	513-853-4684
Fax Number	:	513-852-8525

Provider Business Practice Location Address
First Line	:	3660 EDGEWOOD DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1820
Country	:	US
Telephone Number	:	513-591-6200
Fax Number	:	513-591-6216

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL W CROFTON
Credential	:
Telephone Number	:	513-569-6577

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	01/05/2026

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