GOOD SAMARITAN MEDICAL CENTER
NPI 1669404885
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in West Palm Beach, FL
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 11D0959926
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-22-2027
About GOOD SAMARITAN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Good Samaritan Medical Center, a provider established in West Palm Beach, Florida operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1669404885 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 4070 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Good Samaritan Medical Center. The authorized official of this NPI record is Taylor Guittap (Cfo)
- NPI
- 1669404885 Verify this NPI
- Provider Legal Name
- GOOD SAMARITAN MEDICAL CENTER, INC.
- Other Organization Name
- GOOD SAMARITAN MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1309 N FLAGLER DR WEST PALM BEACH, FL 33401
- Location Phone
- (561) 655-5511
- Mailing Address
- PO BOX 741182 ATLANTA, GA 30374
- Mailing Phone
- (561) 982-2189
- Mailing Fax
- (561) 650-6127
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-07-2006
- Last Update Date
- 03-23-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 4070
- License State
- FL
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0959926
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- WILLIAM C. WARREN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Good Samaritan Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WEST PALM BEACH, FL 33401
WEST PALM BEACH, FL 33401
WEST PALM BEACH, FL 33401
WEST PALM BEACH, FL 33401
WEST PALM BEACH, FL 33401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669404885, enumerated as an "organization" on July 07, 2006.
The provider is located at 1309 N FLAGLER DR WEST PALM BEACH, FL 33401 and the phone number is (561) 655-5511.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
