Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility · Crossville, TN

NPI number 1245539576 Active

Practice location

100 Samaritan Way
Crossville, TN 38558

Call (931) 456-1576 Map

Fax (931) 456-1575

Mailing address

4800 W 57th St
Sioux Falls, SD 57108-2239

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

2 other providers at this address

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NPI record

NPI: 1245539576
Entity type: Organization (Type 2)
Issued: Mar 25, 2011
Last updated: Nov 28, 2021
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Fairfield Glade · doing business as
Good Samaritan Society - Fairfield Glade · doing business as

Authorized official

Raye Nae Nylander
Executive Vice President
(605) 362-3100

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About NPI 1245539576

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1245539576, issued on Mar 25, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Crossville, TN. The record was last updated on Nov 28, 2021.