Good Samaritan Physician Services
Pediatrics
Good Samaritan Physician Services is a Lebanon, Pennsylvania based Pediatric center with medical specialization in
General Pediatrics. Good Samaritan Physician Services is doing business as
Wellspan Pediatric Medicine - Lebanon.
It is located at
618 Cornwall Rd, Building 2, Lebanon, Pennsylvania - 17042-7089. They can be contacted on phone at
717-279-6700 and fax number 717-279-6759.
NPI number (Unique professional ID) for Good Samaritan Physician Services is
1760510523 which was assigned by NPPES on 01 Mar, 2007 and it was last updated on 05 Oct, 2016.
Good Samaritan Physician Services is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Good Samaritan Physician Services basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Good Samaritan Physician Services |
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| Other Name : | Wellspan Pediatric Medicine - Lebanon |
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Business Address:
Good Samaritan Physician Services address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 618 Cornwall Rd, Building 2
Lebanon, PA, 17042-7089
United States |
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| Phone Number : | 717-279-6700 |
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| Fax Number : | 717-279-6759 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1760510523 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Mar, 2007 |
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| Last Updated On : | 05 Oct, 2016 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jodym Boger |
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| Official Title or Position : | CREDENTIALING COORDINATOR |
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| Phone Number : | 717-270-7780 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Good Samaritan Physician Services are as mentioned. Primary taxonomy code for Good Samaritan Physician Services is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Good Samaritan Physician Services such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001864024 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | P.o. Box 300
Lebanon, PA, 17042-0300
United States |
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| Phone Number : | 717-270-7780 |
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| Fax Number : | 717-274-9746 |
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Business Location:
Patients can refer following map for directions to
Good Samaritan Physician Services practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.