Good Samaritan Society

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

000999 Issued in IA

Legal business name

GOOD SAMARITAN SOCIETY

Practice address

721 S Kiel St
Holstein, IA 51025-5041

Phone

(712) 330-2732

NPI assigned

Dec 11, 2015

Last updated

Dec 11, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Morgan Nicole Bode, COTA

Title

Occupational Therapy Assistant

Phone

(712) 330-2732

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1417322728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S KIEL ST",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510255041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S KIEL ST",
            "city": "HOLSTEIN",
            "state": "IA",
            "postal_code": "510255041",
            "telephone_number": "712-330-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "BODE",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "712-330-2732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "IA",
            "license": "000999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Holstein (Holstein Amblance)
• Cmsrx Inc (Holstein Community Pharmacy)
• Cmsrx Inc (Holstein Community Pharmacy)
• Elizabeth Conover
• Galva-Holstein Community School District
• Ida County Iowa Community Hospital (Horn Physicians Clinic Holstein)
• Anya Kistenmacher
• Letsche Apothecary (Main Street Pharmacy)
• Myron Leonard Murphy, DDS
• Myron L Murphy DDS PC

• Physical Disabilities Residential Treatment Facility in Holstein, IA
• Providers in Holstein, IA by specialty
• Physical Disabilities Residential Treatment Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.