GOOD SAMARITAN HOSPITAL CA LTD PTP
NPI 1073103057
Clinic/Center - Rural Health in Wasco, CA
About Good Samaritan Hospital Ca Ltd Ptp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOOD SAMARITAN HOSPITAL CA LTD PTP (NPI 1073103057), doing business as Good Samaritan Health Center Wasco, is a healthcare organization registered as a rural health in Wasco, California and active in the NPI registry since January 2021. The organization holds an CLIA Accreditation certificate valid through August 5, 2027 and lists Gerrie Halbrook, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Good Samaritan Hospital Ca Ltd Ptp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 05D0586488
Good Samaritan Hospital Laboratory · Bakersfield, CAOther Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Good Samaritan Hospital Ca Ltd Ptp's NPI number?
The NPI number for Good Samaritan Hospital Ca Ltd Ptp is 1073103057. It was assigned to this organization in the NPPES registry on January 22, 2021. The provider is doing business as Good Samaritan Health Center Wasco.
Where is Good Samaritan Hospital Ca Ltd Ptp located?
Good Samaritan Hospital Ca Ltd Ptp is located at 1217 7th St, Wasco, CA 93280. The listed phone number is (661) 215-7721.
What is Good Samaritan Hospital Ca Ltd Ptp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Good Samaritan Hospital Ca Ltd Ptp enrolled in Medicare?
Yes. Good Samaritan Hospital Ca Ltd Ptp is registered in the Medicare PECOS enrollment system.
When is Good Samaritan Hospital Ca Ltd Ptp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Good Samaritan Hospital Ca Ltd Ptp hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 05D0586488) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Good Samaritan Hospital Ca Ltd Ptp was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Good Samaritan Hospital Ca Ltd Ptp · NPI 1073103057
Rural Health organization in Wasco, California. Organization record, active in the CMS NPPES registry since January 22, 2021.
## Identity
- **NPI:** 1073103057 (Entity type: Organization)
- **Enumerated:** January 22, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Good Samaritan Health Center Wasco (Doing Business As)
- **Organization subpart:** Yes (part of Good Samaritan Hospital Ca Ltd Ptp)
- **Authorized official:** Gerrie Halbrook, CFO
## Practice location
- **Address:** 1217 7TH ST, Wasco, CA 93280-1820
- **Phone:** (661) 215-7721
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, California, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073103057) · Data from the CMS NPPES public registry.