Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility · Centerville, SD

NPI number 1881684637 Active

Practice location

500 Vermillion St
Centerville, SD 57014-2168

Call (605) 563-2251 Map

Fax (605) 563-2636

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…

9 other providers at this address

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NPI record

NPI: 1881684637
Entity type: Organization (Type 2)
Issued: Oct 24, 2005
Last updated: May 5, 2008
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Centerville · doing business as

Authorized official

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

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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 1881684637

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1881684637, issued on Oct 24, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Centerville, SD. The record was last updated on May 5, 2008.