GOOD SAMARITAN SOCIETY - AMBASSADOR
NPI 1114908878
Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies in New Hope,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 9, 2005

Contact Information

8100 Medicine Lake Rd
New Hope,
Post Code: 55427
Phone: (763) 544-4171
Fax: (763) 544-5526

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Good Samaritan Society - Ambassador in New Hope - Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies

Good Samaritan Society - Ambassador is a Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies in New Hope, . Good Samaritan Society - Ambassador practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies. The NPI Number for Good Samaritan Society - Ambassador is 1114908878. The last update date is 2021-10-25.

Good Samaritan Society - Ambassador's current location address is 8100 Medicine Lake Rd, New Hope, . You can contact this provider via phone number (763) 544-4171 and fax number (763) 544-5526. The mailing address for Good Samaritan Society - Ambassador is 8100 Medicine Lake Rd, New Hope, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114908878
Provider Legal Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name
GOOD SAMARITAN SOCIETY - AMBASSADOR
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
8100 Medicine Lake Rd, New Hope,
Location Phone
(763) 544-4171
Location Fax
(763) 544-5526
Mailing Address
Po Box 5038, Sioux Falls, South Dakota(SD)
Mailing Phone
605-362-3100
Mailing Fax
605-362-3265
Enumeration Date
2005-11-09
Last Update Date
2021-10-25
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 332BN1400X Nursing Facility Supplies (DME)

Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies

()
2 332BP3500X Parenteral & Enteral Nutrition Supplies (DME)

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

()

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01026658 Other (non-Medicare) (01) Minnesota (MN) Preferred One
32803 Other (non-Medicare) (01) Minnesota (MN) Health partners
564214100 MEDICAID (05) Minnesota (MN)
5A05AM Other (non-Medicare) (01) Minnesota (MN) Blue Cross Blue Shield
7100087 Other (non-Medicare) (01) Minnesota (MN) Medica
7111782 Other (non-Medicare) (01) Minnesota (MN) Medica CI
NH001 Other (non-Medicare) (01) Minnesota (MN) Ucare

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114908878
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418016814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418016814
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 6 + 8 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1114908878 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114908159 DON EDWARD WIESE
Individual
Radiology, Neuroradiology 2355 HIGHWAY 36 W STE 100
ROSEVILLE, Minnesota (MN)
651-292-2000
1114908035 DAVID V SASS
Individual
Dentist, General Practice 2059 ROBERT ST S
SAINT PAUL, Minnesota (MN)
651-457-9633
1114907961 MICHAEL DAVID ULRICH
Individual
Family Medicine 404 W FOUNTAIN ST
ALBERT LEA, Minnesota (MN)
507-373-2384
1114907698 JENNY L KOLLASCH
Individual
Physical Therapist 200 1ST ST SW
ROCHESTER, Minnesota (MN)
507-284-2511
1114907599 JAMES P LAROY
Individual
Family Medicine 6440 NICOLLET AVE SO
RICHFIELD, Minnesota (MN)
612-861-1622