Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Community Based Hospice Care Agency · Prescott, AZ

NPI number 1326238874 Active

Practice location

1065 Ruth St, Suite 108-109
Prescott, AZ 86301

Call (928) 778-5655 Map

Fax (928) 445-2497

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

Another provider at this address

Laurie Leigh Lackland, ANPAdult Health Nurse Practitioner Prescott, AZ NPI 1376895961

Other community based hospice care agency providers in Prescott

See all in Prescott →

NPI record

NPI: 1326238874
Entity type: Organization (Type 2)
Issued: Jul 31, 2007
Last updated: Sep 20, 2021
Status: Active

Other names

<unavail>
Good Samaritan Society-Prescott Hospice · doing business as
Good Samaritan Society-Prescott Hospice · doing business as

Authorized official

George Grant Tribble
Exeutive VP
(605) 362-3900

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About NPI 1326238874

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1326238874, issued on Jul 31, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Prescott, AZ. The record was last updated on Sep 20, 2021.