{
  "npi": "1003903840",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ERIK",
    "authorized_official_last_name": "CHRISTENSON",
    "authorized_official_middle_name": "T",
    "authorized_official_telephone_number": "7017765261",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2025-09-25",
    "enumeration_date": "2006-10-05",
    "last_updated": "2025-09-25",
    "organization_name": "GOOD SAMARITAN HOSPITAL ASSOCIATION",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL ASSOCIATION",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2975 HIGHWAY 2 E",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RUGBY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "701-776-5448",
      "postal_code": "583687801",
      "state": "ND",
      "telephone_number": "701-776-5455"
    },
    {
      "address_1": "406 10TH ST SE APT 36",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RUGBY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "583682564",
      "state": "ND",
      "telephone_number": "701-771-7208"
    }
  ],
  "taxonomies": [
    {
      "code": "251G00000X",
      "desc": "Hospice Care, Community Based",
      "license": "6013A",
      "primary": true,
      "state": "ND",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Agencies — Hospice Care, Community Based",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Hospice"
      }
    ]
  }
}