Provider Type Icon

GOOD SAMARITAN HOSPITAL NPI 1336160969


NPI Information

NPI: 1336160969
Provider Name: GOOD SAMARITAN HOSPITAL

Other Name: GOOD SAMARITAN EKG SVC

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
407 14TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-4000
Get Directions

GOOD SAMARITAN HOSPITAL is an emergency medicine in Puyallup, WA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. GOOD SAMARITAN HOSPITAL NPI is 1336160969. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Good Samaritan Ekg Svc.

The provider's business location address is:

407 14TH AVE SE
PUYALLUP, WA
ZIP 98372-770
Phone: (253) 697-4000
Fax: (253) 697-7293

The provider's authorized official is Kimberly A. Lintott .
The authorized official title is Chief Financial Officer and has the following contact phone number (253) 697-7344.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes
2207Q00000XFamily MedicineX
3207R00000XInternal MedicineX
4207RC0000XInternal MedicineCardiovascular DiseaseX
5207RI0011XInternal MedicineInterventional CardiologyX
6207RI0200XInternal MedicineInfectious DiseaseX
7207RP1001XInternal MedicinePulmonary DiseaseX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17719008MEDICAIDWASHINGTON
225728OTHERWASHINGTONL&I PROF SVCS GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.