CCN: 245455 NPI: 1134119563 Organization

Good Samaritan Society - Jackson

601 WEST ST
JACKSON, MN 561431200

Contact Information

Phone 5078473100
Fax 5078472119
Enumeration Date 2005-10-26
Last Updated 2021-11-28

Taxonomies

Code: 332BN1400X
Code: 332BP3500X
Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

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vbpAdjustment 0.9803449243

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vbpAdjustment 0.9804556931

censusDivision 6

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providerType 38

vbpAdjustment 0.9804556931

censusDivision 6

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providerType 38

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24

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operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

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operatingCostToChargeRatio 0.001

specialPaymentIndicator

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specialPaymentIndicator

carrierCode 06202

localityCode 00

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operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00