Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility · Prescott, AZ

NPI number 1851381578 Active

Practice location

1030 Scott Dr
Prescott, AZ 86301-1793

Call (928) 778-2450 Map

Fax (928) 778-5251

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed
Nursing Facility Supplies (DME)	332BN1400X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	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…

4 other providers at this address

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NPI record

NPI: 1851381578
Entity type: Organization (Type 2)
Issued: Oct 25, 2005
Last updated: Oct 25, 2021
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Prescott Village · doing business as
Good Samaritan Society - Prescott Village · doing business as

Authorized official

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

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About NPI 1851381578

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1851381578, issued on Oct 25, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Prescott, AZ. The record was last updated on Oct 25, 2021.