Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Augusta Place - a Prospera Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
ERIC VANDEN HULL (VICE PRESIDENT, FINANCE)
(605) 362-5510
Entity
Organization
Contact information
Practice address
301 LORRAIN DR, BISMARCK, ND 58503-0311
(701) 255-1084
(701) 751-1342
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
11/25/2020
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