GOOD SAMARITAN SOCIETY - CANTON
NPI 1093294787
Nurse Practitioner in Canton, SD
NPI Status: Active since August 13, 2018
Contact Information
1022 N DAKOTA ST
CANTON, SD
ZIP 57013
Phone: (605) 987-2696
Fax: (605) 987-4198
- Organization
- Nurse Practitioner
- CLIA Number: 43D0687963
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About GOOD SAMARITAN SOCIETY - CANTON
This page provides the complete NPI Profile along with additional information for Good Samaritan Society - Canton, a provider established in Canton, South Dakota operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1093294787 assigned on August 2018. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Good Samaritan Society - Canton operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Good Samaritan Society - Canton. The authorized official of this NPI record is George Grant Tribble (Executive Vp)
- NPI
- 1093294787
- Provider Legal Name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Other Organization Name
- GOOD SAMARITAN SOCIETY - CANTON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1022 N DAKOTA ST CANTON, SD 57013
- Location Phone
- (605) 987-2696
- Location Fax
- (605) 987-4198
- Mailing Address
- 4800 W 57TH ST SIOUX FALLS, SD 57108
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-13-2018
- Last Update Date
- 08-13-2018
- Code Navigator
A nurse practitioner (NP) like Good Samaritan Society - Canton is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D0687963
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- AMANDA PETRIK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Good Samaritan Society - Canton to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 9 | 3 | 2 | 9 | 4 | 7 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 4 | 9 | 8 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 4 + 9 + 8 + 7 + 1 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1093294787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275673816 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Organization | Assisted Living Facility | 1022 N DAKOTA ST CANTON, SD 57013 (605) 987-2696 |
| 1578544482 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Organization | Skilled Nursing Facility | 1022 N DAKOTA ST CANTON, SD 57013 (605) 987-2696 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093294787, enumerated in the NPI registry as an "organization" on August 13, 2018
The provider is located at 1022 N Dakota St Canton, Sd 57013 and the phone number is (605) 987-2696
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
The provider's CLIA number is 43D0687963 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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