# AMERICAN LUTHERAN CHURCH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN LUTHERAN CHURCH
- **Other names:** Salem Lutheran Homes
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760460489
- **Legal business name:** AMERICAN LUTHERAN CHURCH
- **Authorized official:** RAYE NAE NYLANDER (VICE PRESIDENT CFO)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 2027 COLLEGE, ELK HORN, IA 51531-0703
- **Practice address phone:** (712) 764-4201
- **Practice address fax:** (712) 764-4206
- **Mailing address:** 2027 COLLEGE ST, ELK HORN, IA 51531-8007
- **Mailing address phone:** (712) 764-4201
- **Mailing address fax:** (712) 764-4206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 830061 | IA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 08/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0803551 | — | IA |
| 01 | — | 65155 | BC/BS THERAPY AND CI | IA |