GOOD SAMARITAN HOSPITAL ASSOCIATION (NPI# 1740451038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740451038 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL ASSOCIATION |
| Other Organization Name | HEART OF AMERICA JOHNSON CLINIC -MADDOCK |
| Practice Address |
301 Roosevelt Ave Maddock ND 58348-7138 |
| Mailing Address |
800 S Main Ave Rugby ND 58368-2118 |
| Practice Telephone | 7014382555 |
| Practice Fax Number | 7014382551 |
| Mailing Telephone | 7017765261 |
| Mailing Fax Number | 7017765448 |
| Enumeration Date | 2008-03-14 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1457113 | 05 |
| Other Name | Type Code |
|---|---|
| Heart of America Johnson Clinic -Maddock | Other Name - Individual/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 |
| 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 |
| 1003903840 | Good Samaritan Hospital Association | Hospice Care, Community Based | 800 S Main Ave, Rugby, ND 58368-2118 | 2006-10-05 |
| Street Address |
301 ROOSEVELT AVE |
| City | MADDOCK |
| State | ND |
| Zip Code | 58348-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013015841 | Linda H Elllingson | Physician Assistant | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2006-09-20 |
| 1437573037 | Memorial Hospital Association | Assisted Living Facility | 301 Roosevelt Ave, Maddock, ND 58348-7138 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548759806 | Samantha Mccloud | Speech-Language Pathologist | 909 1st Street, Maddock, ND 58348 | 2018-05-02 |
| 1073982484 | Benson County Dba Benson County Transportation | Non-emergency Medical Transport (VAN) | 105 Central Ave, Suite 201, Maddock, ND 58348 | 2015-09-16 |
| 1760539100 | Maddock Ambulance Service | Ambulance | 206 Lincoln Ave, Maddock, ND 58348-0208 | 2007-01-05 |
| 1205926144 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 108 Central Ave N, Maddock, ND 58348-7204 | 2006-10-13 |
| 1790384469 | Mechelle Solberg | Technician | 3149 48th Ave Ne, Maddock, ND 58348-9650 | 2020-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384469 | Mechelle Solberg | Technician | 3149 48th Ave Ne, Maddock, ND 58348-9650 | 2020-10-22 |
| 1548759806 | Samantha Mccloud | Speech-Language Pathologist | 909 1st Street, Maddock, ND 58348 | 2018-05-02 |
| 1760539100 | Maddock Ambulance Service | Ambulance | 206 Lincoln Ave, Maddock, ND 58348-0208 | 2007-01-05 |
| 1205926144 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 108 Central Ave N, Maddock, ND 58348-7204 | 2006-10-13 |
| 1073982484 | Benson County Dba Benson County Transportation | Non-emergency Medical Transport (VAN) | 105 Central Ave, Suite 201, Maddock, ND 58348 | 2015-09-16 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068035 | Rory Ratzlaff | Family Medicine | Sanford Health 737 Broadway N, Fargo, ND 58122-0001 | 2018-06-28 |
| 1710472725 | Shabnum Gupta | Family Medicine | Sanford Health 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-22 |
| 1538661384 | Community Uplift Program | Family Medicine | 417 Main Ave Ste 401, Fargo, ND 58103-1956 | 2018-03-07 |
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1417343831 | Ashley Lynn Loughner | Family Medicine | 194 Missle Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2015-04-13 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1982031746 | Turtle Mountain Family Medicine, LLC | Family Medicine | 115 Main Street Ne, Dunseith, ND 58329 | 2013-10-10 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
| Find all providers with the same taxonomy | ||||
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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.