Good Samaritan Hospital Association
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Rugby, ND
NPI 1417044249 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1417044249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- GOOD SAMARITAN HOSPITAL ASSOCIATION
- Practice address
- 2975 Highway 2 E
Rugby, ND 58368-7801 - Phone
- (701) 776-5261
- NPI assigned
- Oct 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- GOOD SAMARITAN HOSPITAL ASSOCIATION
Authorized official
- Name
- Erik T Christenson
- Title
- Ceo
- Phone
- (701) 776-5261
Owners & managing parties with NPI records 8
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 7
Related certifications (CCN) 1
Facilities with the same owner 1
Practitioners 24
-
Karen A Alme, FNP
-
Kathy Jane Brandt, LRD
-
Jenna Leigh Brossart, FNP-C
-
Stephanie F. Buckmier, NP-C
-
McKenzie Jo Gronvold, FNP
-
Dustin Tel Hager, PA-C
-
Cammy Kay Kelsch, FNP
-
Nicole Micah Lemieux, PA-C
-
Heidi Schmaltz, PA-C
-
Jodi Lynn Sherve, FNP-C
-
Ronald P Skipper, M.D.
-
Jenna Leigh Thompson, FNP-C
-
Thomas Eugene Cooper, FNP-C, ACNP-BC
-
Eric Dyer, PA-C
-
Chiedza Nwakudu, NURSE PRACTITIONER
-
Peter Papapetrou, M.D.
-
Chassidy Sharp, NP
Affiliated clinicians 8
-
Karen A Alme, FNP
-
Jenna Leigh Brossart, FNP-C
-
Dustin Tel Hager, PA-C
-
Cammy Kay Kelsch, FNP
-
Nicole Micah Lemieux, PA-C
-
Jenna Leigh Thompson, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Hospital certification: CCN 35Z332
- Legal name
- GOOD SAMARITAN HOSPITAL ASSOCIATION
- Doing business as
- HEART OF AMERICA MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 2975 Highway 2 E
Rugby, ND 58368-7801
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Richard D Anderson |
Corporate Director |
Nov 17, 2025 | |
| Tanner Lee Johnson |
Corporate Director | Oct 18, 2021 | |
| Josalynne L Hoff Rue |
W-2 Managing Employee |
Mar 9, 2023 | |
| Operational/Managerial Control |
Mar 9, 2023 | ||
| Craig Zachmeier |
Corporate Director | Nov 12, 2019 | |
| Kimberley Bott |
Corporate Director | Feb 25, 2021 | |
| Christine Jaeger |
Corporate Director |
Nov 17, 2025 | |
| Michael Graner |
Corporate Officer | Aug 1, 2022 | |
| Corporate Director | Apr 14, 2021 | ||
| Wayne Trottier |
Corporate Officer | Aug 1, 2022 | |
| Corporate Director | Nov 12, 2019 | ||
| Erik Christenson |
Corporate Officer |
Apr 13, 2020 | |
| W-2 Managing Employee |
Apr 13, 2020 | ||
| Operational/Managerial Control |
Apr 13, 2020 | ||
| Melissa Shepard |
Corporate Officer |
Aug 1, 2019 | |
| W-2 Managing Employee |
Aug 1, 2019 | ||
| Operational/Managerial Control |
Aug 1, 2019 | ||
| Jesse Fahnestock |
Corporate Director |
Aug 18, 2025 | |
| Good Samaritan Hospital Association |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Lisa Thorp |
Corporate Director | Nov 21, 2022 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Heart of America Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070420000439 | ND | Part a Provider - Critical Access Hospital | 6002716701 | Practice locations: Rugby, ND |
National Provider Directory
- Tax ID family
- Rugby Ambulance
- Part of
- Rugby Ambulance
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
2975 Highway 2 E
Rugby, ND 58368-7801
Mailing address
2975 Highway 2 E
Rugby, ND 58368-7801
Phone (701) 776-5455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457268 | Medicaid | ND | |
| 2899 | Other | ND | BLUE CROSS BLUE SHIELD |
Other names
- HEART OF AMERICA MEDICAL CENTER
Other providers in Rugby, ND
- Joshua V Foss
- Marie Elaine Fragodt
- Kaycee Ann Gingerich
- Good Samaritan Hospital Association
- Good Samaritan Hospital Association
- Good Samaritan Hospital Association
- Good Samaritan Hospital Association
- Good Samaritan Hospital Association
- Good Samaritan Hospital Association
- Good Samaritan Hospital Association
All providers in Rugby, ND · Medicare Defined Swing Bed Hospital Unit in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.