Organization
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
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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