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The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Nurse Practitioner · Park River, ND

NPI 1740769595 · NPPES record last updated Aug 13, 2018

Key facts

NPI
1740769595
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
301 S Highway 12B
Park River, ND 58270
Phone
(701) 284-7115
Fax
(701) 284-7117
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 Director
Phone
(605) 362-3900

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) 19

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
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X Yes

Addresses

Primary practice location

301 S Highway 12B
Park River, ND 58270

Mailing address

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

Other names

  • Good Samaritan Society - Park River Doing business as

Other providers in Park River, ND

All providers in Park River, ND · Nurse Practitioner in North Dakota

Sources for this page

Verify at the official NPI Registry.