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RRC330286-00 GOOD SAMARITAN HOSPITAL (Active)
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Main Details
Name
GOOD SAMARITAN HOSPITAL
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC330286-00
Medicare Provider Number
330286
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/28/2025
Last Recertification Date
Contacts
Authorizing Official
Good Samaritan Hospital
Stephen Trapani, SVP Finance
(631) 376-3583
Primary Contact
Good Samaritan Hospital
James Alfiero, Director of Pharmacy
(631) 376-4435
Addresses
Street Address
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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