# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Augusta Place - a Prospera Community
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528540317
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** ERIC VANDEN HULL (VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (605) 362-5510

## Contact information

- **Practice address:** 301 LORRAIN DR, BISMARCK, ND 58503-0311
- **Practice address phone:** (701) 255-1084
- **Practice address fax:** (701) 751-1342
- **Mailing address:** 4800 W 57TH ST, SIOUX FALLS, SD 57108-2239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2018
- **Last updated:** 11/25/2020