The Salvation Army Good Samaritan Dental Clinic

LBN: The Salvation Army
The Salvation Army Good Samaritan Dental Clinic is an health care organization with primary practice located at 120 N Broadway Ste B , Rochester MN 55906-3728. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Salvation Army can be contacted via phone (507) 529-4100, or through Uthke-Scaletta, Allison via phone (651) 746-3543.

Contact Information

Primary practice address
120 N Broadway Ste B Rochester MN 55906-3728
Phone: (507) 529-4100
Fax: (507) 529-4101
Website:
Map and Directions
Authorized official contact:
Name: Uthke-Scaletta, Allison DELEGATED OFFICIAL
Phone: (651) 746-3543

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 867910000 Minnesota

Profile Details

NPI number 1093882656
LBN Legal business name The Salvation Army
DBA Doing business as The Salvation Army Good Samaritan Dental Clinic
Authorized official Uthke-Scaletta, Allison DELEGATED OFFICIAL
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Dec 2nd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093882656 NPPES
Minnesota Other 867910000 PROVIDER IDENTIFICATION #

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