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The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Skilled Nursing Facility · Parshall, ND

NPI 1295716207 · NPPES record last updated Nov 9, 2007

Key facts

NPI
1295716207
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
307 3Rd St NE
Parshall, ND 58770-0037
Phone
(701) 862-3138
Fax
(701) 862-4102
NPI assigned
Nov 7, 2005
Organization subpart
No

Authorized official

Name
Mrs. Raye Nae Nylander
Title
Cfo
Phone
(605) 362-3100

Subparts reporting this organization as parent 39

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 39

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Yes
Nursing Facility Supplies (DME) 332BN1400X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

307 3Rd St NE
Parshall, ND 58770-0037

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038
Phone (605) 362-3100

Other identifiers

IdentifierTypeStateIssuer
4846OtherNDBLUE CROSS BLUE SHIELD

Other names

  • Good Samaritan Society - Rock View At Parshall Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2007.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1295716207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5038",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175038",
            "telephone_number": "605-362-3100",
            "fax_number": "605-362-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 3RD ST NE",
            "city": "PARSHALL",
            "state": "ND",
            "postal_code": "587700037",
            "telephone_number": "701-862-3138",
            "fax_number": "701-862-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "RAYE NAE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-362-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4846",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Society - Rock View At Parshall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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Sources for this page

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