GOOD SAMARITAN HOSPITAL ASSOCIATION (NPI# 1417044249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417044249 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL ASSOCIATION |
| Other Organization Name | HEART OF AMERICA MEDICAL CENTER |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 5046A | ND | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD | 2899 | 01 |
| ND | 1457268 | 05 |
| Other Name | Type Code |
|---|---|
| HEART OF AMERICA MEDICAL CENTER | 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068949 | Southwest Healthcare Services | Medicare Defined Swing Bed Unit | 14 6th Ave Sw, Bowman, ND 58623-0009 | 2006-09-26 |
| 1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
| 1609972884 | Mercy Hospital of Devils Lake | Medicare Defined Swing Bed Unit | 1031 7th Street Ne, Devils Lake, ND 58301-2798 | 2006-09-15 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1861462442 | Garrison Memorial Hospital | Medicare Defined Swing Bed Unit | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
| 1487889614 | St Joseph's Hospital and Health Center | Medicare Defined Swing Bed Unit | 2500 Fairway St, Dickinson, ND 58601 | 2009-05-18 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1639296007 | St Aloisius Hospital Inc | Medicare Defined Swing Bed Unit | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-23 |
| 1619033917 | Presentation Medical Center | Medicare Defined Swing Bed Unit | 213 2nd Ave Ne, Rolla, ND 58367-0759 | 2006-12-29 |
| 1689735235 | Nelson County Health System | Medicare Defined Swing Bed Unit | 200 North Main Street, Mcville, ND 58254-0367 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GOOD SAMARITAN HOSPITAL ASSOCIATION.
| 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.