CCN: 245600 NPI: 1497736169 Organization

Good Samaritan Society - Blackduck

172 SUMMIT AVENUE WEST
BLACKDUCK, MN 56630

Contact Information

Phone 2188354218
Fax 2188356737
Enumeration Date 2005-11-09
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:

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specialPaymentIndicator

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specialPaymentIndicator

carrierCode 06202

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providerType 38

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specialPaymentIndicator

carrierCode 06202

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operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 06202

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