CCN: 245476 NPI: 1558342972 Organization

Good Samaritan Society - Pine River

518 JEFFERSON AVE
PINE RIVER, MN 564744497

Contact Information

Phone 2185874423
Fax 2185872671
Enumeration Date 2005-11-11
Last Updated 2021-11-28

Taxonomies

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

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 0.9861051251

censusDivision 4

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censusDivision 4

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vbpAdjustment 1.0

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cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 0.992

censusDivision 6

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vbpAdjustment 1.0

censusDivision 6

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censusDivision 6

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vbpAdjustment 1.0

censusDivision 6

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vbpAdjustment 0.9803449243

censusDivision 6

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censusDivision 6

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providerType 38

vbpAdjustment 1.0002345415

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0002345415

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

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operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00

cbsaActualGeographicLocation 24

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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

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00