The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Nurse Practitioner · Canistota, SD
NPI 1003395799 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1003395799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 700 W Main St
Canistota, SD 57012-2012 - Phone
- (605) 296-3442
- Fax
- (605) 296-3306
- NPI assigned
- Aug 13, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- George Grant Tribble
- Title
- Executive VP
- Phone
- (605) 362-3900
National Provider Directory
- Part of
- Red Oak Iowa Good Sam C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
700 W Main St
Canistota, SD 57012-2012
Mailing address
4800 W 57TH St
Sioux Falls, SD 57108-2239
Other names
- Good Samaritan Society - Canistota
Other providers in Canistota, SD
- Jay W Ortman
- Ryan T Ortman
- Tom R Ortman
- Wayne H Ortman
- Abbey Taylor
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- Lon S Weiland
- Todd L Weiland
All providers in Canistota, SD · Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.