Provider Demographics
NPI:1932881695
Name:GOOD SAMARITAN HEALING CENTER
Entity Type:Organization
Organization Name:GOOD SAMARITAN HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-215-7500
Mailing Address - Street 1:901 OLIVE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-4137
Mailing Address - Country:US
Mailing Address - Phone:661-215-7693
Mailing Address - Fax:
Practice Address - Street 1:4041 N MOONEY BLVD
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-1139
Practice Address - Country:US
Practice Address - Phone:661-215-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD SAMARITAN HEALING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-02
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care