Organization · Type 2 NPI

Good Samaritan Pontiac

Skilled Nursing Facility · Pontiac, IL

NPI number 1881679579 Active

Practice location

1225 S Ewing Dr
Pontiac, IL 61764-9701

Fax (815) 419-6000

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility 313M00000X1630299 (IL)
Skilled Nursing Facility Primary 314000000X1630299 (IL)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1881679579

Good Samaritan Pontiac's National Provider Identifier is 1881679579, issued on Dec 14, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pontiac, IL. The record was last updated on Aug 12, 2020.