Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility · St. Croix Falls, WI

NPI number 1699766808 Active

Practice location

750 E Louisiana St
St. Croix Falls, WI 54024-9501

Fax (715) 483-5113

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed
Nursing Facility Supplies (DME) 332BN1400XNone listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone 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…

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About NPI 1699766808

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1699766808, issued on Nov 4, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in St. Croix Falls, WI. The record was last updated on Dec 28, 2012.