| Good Samaritan Hospital, L.p. | |
|
2425 Samaritan Dr San Jose CA 95124-3908 | |
| (408) 559-2011 | |
| (408) 559-2662 |
| Full Name | Good Samaritan Hospital, L.p. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2425 Samaritan Dr, San Jose, California |
| Authorized Official Name and Position | Jay Graham (CFO) |
| Authorized Official Contact | 4085592458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Hospital, L.p. 2425 Samaritan Dr San Jose CA 95124-3908 Ph: (408) 559-2011 | Good Samaritan Hospital, L.p. 2425 Samaritan Dr San Jose CA 95124-3908 Ph: (408) 559-2011 |
| NPI Number | 1720032790 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 12/10/2020 |
| Certification Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720032790 | NPI | - | NPPES |
| HSM00380I | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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