CCN: 435134 NPI: 1881112290 Organization

GOOD SAMARITAN SOCIETY - ST MARTIN VILLAGE

4825 JERICHO WAY
RAPID CITY, SD 577029694

Contact Information

Phone 6053431919
Enumeration Date 2017-09-06
Last Updated 2021-11-28

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 0.9930140421

censusDivision 4

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 1.0171380252

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 0.9872787106

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 1.0018423586

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 0.9803449243

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

vbpAdjustment 1.0

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

censusDivision 0

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.242

specialPaymentIndicator

carrierCode 03402

localityCode 02

cbsaActualGeographicLocation 39660

providerType 38

operatingCostToChargeRatio 0.229

specialPaymentIndicator

carrierCode 03402

localityCode 02