| Good Samaritan Physician Services | |
|
6 Perri Ave Myerstown PA 17067-3200 | |
| (717) 949-6581 | |
| (717) 949-2816 |
| Full Name | Good Samaritan Physician Services |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Perri Ave, Myerstown, Pennsylvania |
| Authorized Official Name and Position | Jody M Boger (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7172707780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Physician Services Po Box 300 Lebanon PA 17042-0300 Ph: (717) 270-7780 | Good Samaritan Physician Services 6 Perri Ave Myerstown PA 17067-3200 Ph: (717) 949-6581 |
| NPI Number | 1760510424 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760510424 | NPI | - | NPPES |
| 001864024 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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