Good Samaritan Hospital Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1048A Issued in ND

Legal business name

GOOD SAMARITAN HOSPITAL ASSOCIATION

Practice address

800 S Main Ave
Rugby, ND 58368-2118

Phone

(701) 776-5261

Fax

(701) 776-5448

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Erik T Christenson

Title

Ceo

Phone

(701) 776-5261

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heart of America Nursing Facility Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Good Samaritan Hospital Association

  • Family Medicine Physician
  • Maddock, ND
  • NPI 1740451038

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josalynne Ladawn Hoff Rue, M.D.

  • Family Medicine Physician
  • Rugby, ND
  • NPI 1710330006
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1710074554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN AVE",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682118",
            "telephone_number": "701-776-5261",
            "fax_number": "701-776-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MAIN AVE",
            "city": "RUGBY",
            "state": "ND",
            "postal_code": "583682118",
            "telephone_number": "701-776-5261",
            "fax_number": "701-776-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-776-5261"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1048A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457134",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of America Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart of America Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Good Samaritan Hospital Association
• Leslie Kenneth Gronos
• McKenzie Jo Gronvold, FNP

• All providers in Rugby, ND
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.