Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Nursing Facility/Intermediate Care Facility · New Town, ND

NPI number 1174506570 Active

Practice location

603 1st St N
New Town, ND 58763-4145

Call (701) 627-4711 Map

Fax (701) 627-4013

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility Primary	313M00000X	None listed
Nursing Facility Supplies (DME)	332BN1400X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

NPI record

NPI: 1174506570
Entity type: Organization (Type 2)
Issued: Nov 21, 2005
Last updated: Nov 9, 2007
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - New Town · doing business as

Authorized official

Ms. Raye Nae Nylander
CFO
(605) 362-3100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174506570

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1174506570, issued on Nov 21, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in New Town, ND. The record was last updated on Nov 9, 2007.