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The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Custodial Care Facility · Mott, ND

NPI 1538249123 · NPPES record last updated Feb 12, 2016

Key facts

NPI
1538249123
Entity type
Organization (NPI type 2)
Primary specialty
Custodial Care Facility 311Z00000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
401 Millionaire Ave
Mott, ND 58646-7270
Phone
(701) 824-3222
NPI assigned
Oct 17, 2006
Organization subpart
Yes
Parent organization (as reported)
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Authorized official

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Red Oak Iowa Good Sam C (210 organizations share this tax ID)
Part of
Red Oak Iowa Good Sam C

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Yes

Addresses

Primary practice location

401 Millionaire Ave
Mott, ND 58646-7270

Mailing address

4800 W 57TH St
Sioux Falls, SD 57117-5038
Phone (605) 362-3100

Other identifiers

IdentifierTypeStateIssuer
30740MedicaidND

Other names

  • Good Samaritan Society - Mott Doing business as

Other providers in Mott, ND

All providers in Mott, ND · Custodial Care Facility in North Dakota

Sources for this page

Verify at the official NPI Registry.