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The Evangelical Lutheran Good Samaritan Society

The Evangelical Lutheran Good Samaritan Society is a health care provider in Sioux Falls, SD. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 745 Basinger Memorial Dr, Mountain Lake, MN 56159-1312, US
Practice Location Phone507-427-2464
Practice Location Fax507-427-3036
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization NameGOOD SAMARITAN SOCIETY - THE VILLAGE
Other Organization Name TypeDoing Business As Name
NPI ?1265423990
Entity TypeOrganization
Enumeration Date ? Nov 2, 2005
Last Update Date ? Dec 27, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Evangelical Lutheran Good Samaritan Society

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility
Durable Medical Equipment & Medical SuppliesNursing Facility Supplies
Durable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition

legacy-id-icon Legacy Provider IDs of The Evangelical Lutheran Good Samaritan Society

Provider IdIssuer StateIssuer TypeIssuer
115180100MinnesotaMedicaid
4690MOMinnesotaOtherBLUE CROSS BLUE SHIELD
477840500MinnesotaMedicaid
NH0330MinnesotaOtherUCARE

official-icon Authorized Official of The Evangelical Lutheran Good Samaritan Society

An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Evangelical Lutheran Good Samaritan Society's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Raye Nae Nylander
Authorized Official Title/PositionCFO
Authorized Official Phone Number605-362-3100