The Evangelical Lutheran Good Samaritan Society

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing business as

Good Samaritan society - Sioux Falls Village

Practice address

3901 S Marion Rd
Sioux Falls, SD 57106-1722

Phone

(605) 361-3311

Fax

(605) 361-2220

NPI assigned

Jul 10, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grant Tribble

Title

Executive VP

Phone

(605) 362-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Good Samaritan society - Sioux Falls Village Doing business as

Part of

Good Samaritan Home

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1285018143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082239",
            "telephone_number": "605-362-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S MARION RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061722",
            "telephone_number": "605-361-3311",
            "fax_number": "605-361-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "TRIBBLE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "605-362-3100"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "S109080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan society - Sioux Falls Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Assist Foundation
• The Basin and the Towel
• The Cornerstone Center, LLC (Covenant Dental)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Sioux Falls Village)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Luther Manor)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Sioux Falls Center)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Transportation Services)
• The Evangelical Lutheran Good Samaritan Society (LivingWell@Home)
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Care)

• Nurse Practitioner in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.