The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Skilled Nursing Facility · Wymore, NE
NPI 1376534826 · NPPES record last updated Jan 17, 2013
Key facts
- NPI
- 1376534826
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 105 E D St
Wymore, NE 68466-2151 - Phone
- (402) 645-3355
- Fax
- (402) 645-3497
- NPI assigned
- Nov 3, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- Mrs. Raye Nae Nylander
- Title
- Cfo
- Phone
- (605) 362-3100
Member of 1
National Provider Directory
- Part of
- Red Oak Iowa Good Sam C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
105 E D St
Wymore, NE 68466-2151
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Phone (605) 362-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00652 | Other | NE | BLUE CROSS BLUE SHIELD |
| F248083 | Other | NE | MIDLANDS CHOICE |
Other names
- Good Samaritan Society - Wymore
Other providers in Wymore, NE
- Lori Kay Moniz-Trisler
- Amanda L Rath
- Cody Sabey
- Stacy Schlichtman
- Southern Public Schools
- Wymore Volunteer Fire Department
- Jane Sheryl Young
All providers in Wymore, NE · Skilled Nursing Facility in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2013. 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.