The Evangelical Lutheran Good Samaritan Society
Organization Active NPI Nursing Facility/Intermediate Care Facility · Park River, ND
NPI 1669890653 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1669890653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- Legal business name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Practice address
- 301 County Road 12B
Park River, ND 58270-4134 - Phone
- (701) 284-7115
- NPI assigned
- Apr 7, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
- Name
- Raye Nae Nylander
- Title
- Executive VP
- Phone
- (605) 362-3100
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Red Oak Iowa Good Sam C
- Part of
- Red Oak Iowa Good Sam C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Yes |
Addresses
Primary practice location
301 County Road 12B
Park River, ND 58270-4134
Mailing address
PO Box 5038
Sioux Falls, SD 57117-5038
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30788 | Medicaid | ND |
Other names
- Good Samaritan Society - Park River
Other providers in Park River, ND
- Physician Management Services of North Dakota, LLC
- Kara Ruhland
- Alexandria Leigh Skyrud
- Kristin Marie Stabo
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- Villa Nazareth
- Villa Nazareth
- Walsh County Senior Citizens Council
- Ye Olde Medicine Shoppe
All providers in Park River, ND · Nursing Facility/Intermediate Care 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 Apr 7, 2014. 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.