GOOD SAMARITAN HOSPITAL ASSOCIATION (NPI# 1003903840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003903840 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL ASSOCIATION |
| Other Organization Name | HEART OF AMERICA HOSPICE |
| Practice Address |
800 S Main Ave Rugby ND 58368-2118 |
| Practice Telephone | 7017765261 |
| Practice Fax Number | 7017765448 |
| Mailing Telephone | 7017765261 |
| Mailing Fax Number | 7017765448 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | ERIK T CHRISTENSON (CEO) |
| Authorized Official Telephone | 7017765261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 6013A | ND | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1457279 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 9308 | 01 |
| Other Name | Type Code |
|---|---|
| Heart of America Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922195767 | Good Samaritan Hospital Association | Custodial Care Facility | 1025 3rd Ave Se, Rugby, ND 58368-2523 | 2006-10-05 |
| 1760908669 | Good Samaritan Hospital Association | Family Medicine | 2 3rd Ave Sw, Towner, ND 58788 | 2017-08-22 |
| 1578734869 | Good Samaritan Hospital Association | Family Medicine | 800 S Main Ave, Rugby, ND 58368-2118 | 2008-03-14 |
| 1740451038 | Good Samaritan Hospital Association | Family Medicine | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2008-03-14 |
| 1568633865 | Good Samaritan Hospital Association | Family Medicine | 215 Main St Se, Dunseith, ND 58329 | 2008-03-14 |
| 1831308220 | Good Samaritan Hospital Association | Respite Care | 800 S Main Ave, Rugby, ND 58368-2118 | 2007-05-22 |
| 1871622308 | Good Samaritan Hospital Association | Pharmacy | 800 S Main Ave, Rugby, ND 58368-2118 | 2007-03-02 |
| 1740317122 | Good Samaritan Hospital Association | Anesthesiology | 800 S Main Ave, Rugby, ND 58368-2118 | 2007-02-27 |
| 1154457646 | Good Samaritan Hospital Association | Ambulance | 800 S Main Ave, Rugby, ND 58368-2118 | 2007-02-26 |
| 1922198803 | Good Samaritan Hospital Association | Durable Medical Equipment & Medical Supplies | 800 S Main Ave, Rugby, ND 58368-2118 | 2006-10-13 |
| Street Address |
800 S MAIN AVE |
| City | RUGBY |
| State | ND |
| Zip Code | 58368-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779197 | Stephanie F. Buckmier | Nurse Practitioner | 800 S Main Ave, Rugby, ND 58368-2118 | 2005-08-31 |
| 1477150928 | Kayla Sendelbach | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2020-10-07 |
| 1366053571 | Katie Holzheimer | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2020-08-11 |
| 1104457969 | Jesse Rue | Pharmacist | 800 S Main Ave, Rugby, ND 58368-2118 | 2020-01-30 |
| 1497248264 | Jennifer A Keller | Physical Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2018-06-07 |
| 1154851244 | Jenna Leigh Thompson | Nurse Practitioner | 800 S Main Ave, Rugby, ND 58368-2118 | 2017-06-12 |
| 1275060147 | Nicole Micah Lemieux | Physician Assistant | 800 S Main Ave, Rugby, ND 58368-2118 | 2017-05-22 |
| 1225570930 | Chelsey Diana Wyatt | Registered Nurse | 800 S Main Ave, Rugby, ND 58368-2118 | 2016-11-11 |
| 1710330006 | Josalynne Ladawn Hoff Rue | Family Medicine | 800 S Main Ave, Rugby, ND 58368-2118 | 2016-07-21 |
| 1720416373 | Janaye Marie St. Michel | Occupational Therapist | 800 S Main Ave, Rugby, ND 58368-2118 | 2013-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696501 | Bonnie Jean Strand | Technician | Ramona Gronos, 7291 41st Ave Ne, Rugby, ND 58368 | 2020-10-14 |
| 1700274891 | Pierce County Social Services | Public Health or Welfare | 240 2nd St. Se, Suite 2, Rugby, ND 58368 | 2014-12-26 |
| 1376958009 | Jordan Backstrom | Physical Therapist | 215 Highway 2 Sw Stuite 103, Rugby, ND 58368 | 2014-06-20 |
| 1538389754 | Kyle Thomas Demontigny | Pharmacist | White Drug #50, 107 E 2nd St, Rugby, ND 58368 | 2007-04-27 |
| 1316085384 | Colleen J. Hermanson | Speech-Language Pathologist | 126 S Main Ave., Rugby, ND 58368 | 2007-02-02 |
| 1609898600 | Johnson Clinic PC | Internal Medicine | 800 3rd Avenue Southwest, Rugby, ND 58368 | 2006-07-25 |
| 1518481936 | Horizons Speech Therapy Services, LLC | Speech-Language Pathologist | 126 S Main Ave, Rugby, ND 58368 | 2017-07-27 |
| 1861599680 | Carol A Berg | Nurse Practitioner | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-09-20 |
| 1710052626 | Brian L Selland | Family Medicine | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-11-24 |
| 1124128608 | Hubert L Seiler | Family Medicine | 800 3rd Ave Sw, Rugby, ND 58368-1645 | 2006-09-24 |
| Find all providers in zip 58368 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501422 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 5300 12th St S, Fargo, ND 58104-4034 | 2019-04-24 |
| 1841647542 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 1212 E. Maine Avenue, Bismarck, ND 58501-4518 | 2016-05-23 |
| 1578878047 | Chi Health Connect At Home-fargo | Hospice Care, Community Based | 986 2nd Avenue West, Dickinson, ND 58601-3916 | 2010-08-09 |
| 1588866685 | Tami's Angels, Inc. | Hospice Care, Community Based | 624 Main Ave, Suite 10, Fargo, ND 58103-1966 | 2007-06-01 |
| 1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| 1013559905 | Sanford Medical Center Fargo | Hospice Care, Community Based | 801 Broadway N, Fargo, ND 58102-3641 | 2019-10-11 |
| 1366092801 | Sanford Medical Center Fargo | Hospice Care, Community Based | 820 4th St N, Fargo, ND 58102-4539 | 2019-09-17 |
| 1437634706 | Caringedge Hospice of Fargo | Hospice Care, Community Based | 4420 37th Ave S, Fargo, ND 58104-3400 | 2018-10-02 |
| 1740799501 | Caringedge Hospice of Minot LLC | Hospice Care, Community Based | 800 16th Ave Se, Minot, ND 58701-6781 | 2017-09-25 |
| 1093224867 | Caringedge Hospice of Bismarck LLC | Hospice Care, Community Based | 3124 Colorado Ln, Bismarck, ND 58503-5447 | 2017-09-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.