The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Nurse Practitioner · Miller, SD

NPI 1720567415 · NPPES record last updated Aug 13, 2018

Key facts

NPI
1720567415
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
421 E 4TH St
Miller, SD 57362-1539
Phone
(605) 853-2701
Fax
(605) 853-3370
NPI assigned
Aug 13, 2018
Organization subpart
Yes
Parent organization (as reported)
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Authorized official

Name
George Grant Tribble
Title
Executive VP
Phone
(605) 362-3900

National Provider Directory

Part of
Red Oak Iowa Good Sam C

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X Yes

Addresses

Primary practice location

421 E 4TH St
Miller, SD 57362-1539

Mailing address

4800 W 57TH St
Sioux Falls, SD 57108-2239

Other names

  • Good Samaritan Society - Miller Doing business as

Other providers in Miller, SD

All providers in Miller, SD · Nurse Practitioner in South Dakota

Sources for this page

Verify at the official NPI Registry.