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.
|Practice Location||745 Basinger Memorial Dr, Mountain Lake, MN 56159-1312, US|
|Practice Location Phone||507-427-2464|
|Practice Location Fax||507-427-3036|
|Legal Business Name||THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY|
|Other Organization Name||GOOD SAMARITAN SOCIETY - THE VILLAGE|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Nov 2, 2005|
|Last Update Date ?||Dec 27, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|
|Durable Medical Equipment & Medical Supplies||Suppliers||Nursing Facility Supplies|
|Durable Medical Equipment & Medical Supplies||Suppliers||Parenteral & Enteral Nutrition|
|Provider Id||Issuer State||Issuer Type||Issuer|
|4690MO||Minnesota||Other||BLUE CROSS BLUE SHIELD|
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/Position||CFO|
|Authorized Official Phone Number||605-362-3100|