Organization
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Other names
Good Samaritan Loveland Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARLYN TANDE (EXECUTIVE DIRECTOR)
(970) 669-3100
Entity
Organization
Contact information
Practice address
2101 S GARFIELD AVE, LOVELAND, CO 80537-7377
(970) 669-3100
(970) 663-4526
Mailing address
2101 S GARFIELD AVE, LOVELAND, CO 80537-7377
(970) 669-3100
(970) 663-4526
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C374108
MEDIARE ID NUMBER
CO
Enumeration date
09/05/2007
Last updated
09/05/2007
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