The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Skilled Nursing Facility · Arthur, ND
NPI 1124019419 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1124019419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 150 County Road 34
Arthur, ND 58006-4102 - Phone
- (701) 967-8316
- Fax
- (701) 967-8961
- NPI assigned
- Nov 4, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- Mr. Grant Tribble
- Title
- Cfo
- Phone
- (605) 362-3100
Parent organization (reported in NPPES) 1
Member of 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0655581 | Good Samaritan - Arthur | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Part of
- Red Oak Iowa Good Sam C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | ||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
150 County Road 34
Arthur, ND 58006-4102
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Phone (605) 362-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8235 | Other | ND | BLUE CROSS BLUE SHIELD |
| 55655 | Other | ND | OUTPATIENT THERAPY |
| 30058 | Medicaid | ND |
Other names
- Good Samaritan Society - Arthur
Other providers in Arthur, ND
- Beth Bush
- Casselton Drug Inc
- Bridgit Lehfeldt
- Nicole Oster
- Jaclyn Nicole Tarnowski
- The Evangelical Lutheran Good Samaritan Society
- Katie Elizabeth Thompson
- Amy Jo Winjum
All providers in Arthur, ND · Skilled Nursing 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 Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.