Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Other names
Good Samaritan Society - Rock View At Parshall
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAYE NAE NYLANDER (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
307 3RD ST NE, PARSHALL, ND 58770-0037
(701) 862-3138
(701) 862-4102
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4846
BLUE CROSS BLUE SHIELD
ND
Enumeration date
11/07/2005
Last updated
11/09/2007
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