GOOD SAMARITAN HOSPITAL ASSOCIATION (NPI# 1922195767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922195767 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL ASSOCIATION |
| Other Organization Name | HAROLD S. HAALAND HOME |
| Practice Address |
1025 3rd Ave Se Rugby ND 58368-2523 |
| Practice Telephone | 7017765203 |
| Practice Fax Number | 7017766688 |
| Mailing Telephone | 7017765203 |
| Mailing Fax Number | 7017766688 |
| 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 | 311Z00000X | Custodial Care Facility | 8031A | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30707 | 05 |
| Other Name | Type Code |
|---|---|
| Harold S. Haaland Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1003903840 | Good Samaritan Hospital Association | Hospice Care, Community Based | 800 S Main Ave, Rugby, ND 58368-2118 | 2006-10-05 |
| Street Address |
1025 3RD AVE SE |
| City | RUGBY |
| State | ND |
| Zip Code | 58368-2523 |
| 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 |
| 1780962126 | Heart of America Clinic Pharmacy Inc. | Pharmacy | 800 S Main Ave, Rugby, ND 58368 | 2011-08-03 |
| 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 |
| Find all providers in zip 58368 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548803265 | The Baptist Apartments Inc Dba Prairie Pointe | Custodial Care Facility | 3330 Nebraska Dr, Bismarck, ND 58503-1663 | 2019-10-25 |
| 1295142784 | Dakota Hill Housing Corporation | Custodial Care Facility | 606 Dakota St N, Elgin, ND 58533-7157 | 2014-07-16 |
| 1518373224 | St. Anne's Guest Home | Custodial Care Facility | 524 N 17th St, Grand Forks, ND 58203-3085 | 2014-07-02 |
| 1588079156 | The Odd Fellows and Rebekah Home of North Dakota Inc. | Custodial Care Facility | 1107 Walnut St E, Devils Lake, ND 58301-3240 | 2014-06-23 |
| 1578998753 | Borg Pioneer Memorial Home | Custodial Care Facility | 61 Borg Dr, Mountain, ND 58262-6201 | 2013-09-06 |
| 1487929089 | The Leach Home | Custodial Care Facility | 714 4th St N, Wahpeton, ND 58075-3939 | 2012-03-14 |
| 1689942609 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 1332 10th St Ne, Devils Lake, ND 58301-2329 | 2011-12-05 |
| 1134437932 | Golden Manor Inc | Custodial Care Facility | 214 4th Street Nw, Steele, ND 58482-7317 | 2010-09-15 |
| 1831420348 | Sanford-good Samaritan Community Health Services, LLC | Custodial Care Facility | 316 Versailles Ave, Bismarck, ND 58503-0390 | 2010-01-22 |
| 1962673608 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 4502 37th Ave S, Fargo, ND 58104-7599 | 2008-03-21 |
| 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.