CCN: 245549 NPI: 1265423990 Organization

Good Samaritan Society - Mountain Lake

745 BASINGER MEMORIAL DR
MOUNTAIN LAKE, MN 561591312

Contact Information

Phone 5074272464
Fax 5074273036
Enumeration Date 2005-11-02
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 1.0191388781

censusDivision 4

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 0.9802538758

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 0.980516991

censusDivision 6

cbsaActualGeographicLocation 24

providerType 38

vbpAdjustment 0.980516991

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

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

cbsaActualGeographicLocation 24

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

localityCode 00