CCN: 245488 NPI: 1720078140 Organization

Good Samaritan Society - Woodland

100 BUFFALO HILLS LN
BRAINERD, MN 564015519

Contact Information

Phone 2188291429
Fax 2188294729
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:

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Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 24

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specialPaymentIndicator

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specialPaymentIndicator

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specialPaymentIndicator

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specialPaymentIndicator

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specialPaymentIndicator

carrierCode 06202

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cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00