GOOD SAMARITAN SOCIETY - BLACKDUCK
NPI 1497736169
Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies in Blackduck,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 9, 2005

Contact Information

172 Summit Avenue West
Blackduck,
Post Code: 56630
Phone: (218) 835-4218
Fax: (218) 835-6737

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Good Samaritan Society - Blackduck in Blackduck - Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies

Good Samaritan Society - Blackduck is a Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies in Blackduck, . Good Samaritan Society - Blackduck practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies. The NPI Number for Good Samaritan Society - Blackduck is 1497736169. The last update date is 2021-11-28.

Good Samaritan Society - Blackduck's current location address is 172 Summit Avenue West, Blackduck, . You can contact this provider via phone number (218) 835-4218 and fax number (218) 835-6737. The mailing address for Good Samaritan Society - Blackduck is 172 Summit Avenue West, Blackduck, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1497736169
Provider Legal Name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name
GOOD SAMARITAN SOCIETY - BLACKDUCK
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
172 Summit Avenue West, Blackduck,
Location Phone
(218) 835-4218
Location Fax
(218) 835-6737
Mailing Address
4800 West 57th Street P.o. 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
2021-11-28
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
01026602 Other (non-Medicare) (01) Minnesota (MN) Preferred One
08629 Other (non-Medicare) (01) Minnesota (MN) Blue Cross BS of Michigan
336240000 MEDICAID (05) Minnesota (MN)
7122574 Other (non-Medicare) (01) Minnesota (MN) Medica
8720NO Other (non-Medicare) (01) Minnesota (MN) Blue Cross Blue Shield

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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.
1497736169
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418714312112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2418714312112
2 + 4 + 1 + 8 + 7 + 1 + 4 + 3 + 1 + 2 + 1 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1497736169 is valid because the calculated check digit 9 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
1164425112 BRIAN JOHN ISETTS
Individual
Pharmacist, Pharmacotherapy 3510 WILD TURKEY RD
RED WING, Minnesota (MN)
651-385-8353
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939
1396748307 LIFESCAN MINNESOTA LLC
Organization
Clinic/Center, Radiology 3955 PARKLAWN AVE
EDINA, Minnesota (MN)
952-893-1997
1487657474 JAMES F WESTMAN
Individual
Dentist, General Practice 412 N CENTRAL AVE
DULUTH, Minnesota (MN)
218-628-1270