Provider Information for 1962506501
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GOOD SAMARITAN HOSPITAL
Other Names:Doing Business As:GOOD SAMARITAN REGIONAL MEDICAL CENTER INPATIENT PHARMACYOrganization Subpart: NO
NPI: 1962506501
Last Updated: 2012-12-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1962506501 | ||||||||
| Enumeration Date | 2006-09-12 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: Mr. STEVEN W. JASPERSON Title: CEO Phone: 5417685009 | ||||||||
| Mailing Address | 3600 NW SAMARITAN DR CORVALLIS, OR 97330-3737 United States Phone: 541-768-5071 | Fax:541-768-5299 | ||||||||
| Primary Practice Address | 3600 NW SAMARITAN DR CORVALLIS, OR 97330-3737 United States Phone: 541-768-5071 | Fax:541-768-5299 | ||||||||
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