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General NPI Number Information
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NPI Number | 1578734869
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 2975 HIGHWAY 2 E STE 100
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City | RUGBY
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State | ND
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Zip | 58368-7801
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Country | US
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Telephone | 701-776-5235
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Fax |
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Provider Business Mailing Address
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Address Line | 2975 HIGHWAY 2 E
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City | RUGBY
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State | ND
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Zip | 58368-7801
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Country | US
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Telephone | 701-776-5455
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Fax | 701-776-5448
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Authorized Official
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Title or Position | CEO
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Name | ERIK T CHRISTENSON
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Credential |
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Telephone | 701-776-5261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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