Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Barbour County
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
GRANT TRIBBLE (EXECUTIVE VP - FINANCE)
(605) 362-3100
Entity
Organization
Contact information
Practice address
216 SAMARITAN CIR, BELINGTON, WV 26250-8141
(304) 823-2555
(304) 823-3136
Mailing address
4800 W 57TH ST, SIOUX FALLS, SD 57108-2239
(605) 362-3100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002975000
—
WV
Enumeration date
10/13/2016
Last updated
10/13/2016
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