=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871622308
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GOOD SAMARITAN HOSPITAL ASSOCIATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2007
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2975 HIGHWAY 2 E
-----------------------------------------------------
City | RUGBY
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58368-7801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-776-5261
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2975 HIGHWAY 2 E
-----------------------------------------------------
City | RUGBY
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58368-7801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-776-5261
-----------------------------------------------------
Fax | 701-776-5448
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | ERIK T CHRISTENSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 701-776-5261
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336I0012X
-----------------------------------------------------
Taxonomy Name | Institutional Pharmacy
-----------------------------------------------------
License Number | 200
-----------------------------------------------------
License Number State | ND
-----------------------------------------------------