The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Custodial Care Facility · Larimore, ND
NPI 1114305380 · NPPES record last updated Jun 23, 2015
Key facts
- NPI
- 1114305380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 501 E Front St
Larimore, ND 58251-4010 - Phone
- (701) 213-2316
- NPI assigned
- May 8, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- Grant Tribble
- Title
- Ex Vice President - Finance
- Phone
- (605) 362-3100
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Red Oak Iowa Good Sam C
- Part of
- Red Oak Iowa Good Sam C
Locations
501 E Front St
Larimore, ND 58251
Phone (701) 213-2316
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes |
Addresses
Primary practice location
501 E Front St
Larimore, ND 58251-4010
Mailing address
4800 W 57TH St
Sioux Falls, SD 57108-2239
Phone (605) 362-3100
Other names
- Good Samaritan Society - Larimore
Other providers in Larimore, ND
- Pharmacists Associates LLC
- Shauna Rae Sather
- Jessica M Skjordal
- Spectra Health
- Spectra Health
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- Matthew Jon Volk
- Tomeka L White
All providers in Larimore, ND · Custodial Care Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2015. 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.