Organization Name: | GOOD SAMARITAN HOSPITAL ASSOCIATION |
NPI Number: | 1831308220 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY E JURENA (CEO) |
Mailing Address: | 800 S Main Ave Rugby |
State: | ND US |
Postal Code: | 583682118 |
Phone Number: | 7017765261 |
Fax Number: | 7017765448 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |