Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Nurse Practitioner · Park River, ND

NPI number 1740769595 Active

Practice location

301 S Highway 12B
Park River, ND 58270

Call (701) 284-7115 Map

Fax (701) 284-7117

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

NPI record

NPI: 1740769595
Entity type: Organization (Type 2)
Issued: Aug 13, 2018
Last updated: Aug 13, 2018
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Park River · doing business as

Authorized official

George Grant Tribble
Executive Director
(605) 362-3900

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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 1740769595

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1740769595, issued on Aug 13, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Park River, ND. The record was last updated on Aug 13, 2018.