The Evangelical Lutheran Good Samaritan Society

NPI #1003395799 in Canistota, South Dakota

Provider Information

NPI Number
1003395799
Entity Type
Organization
Organization Name
The Evangelical Lutheran Good Samaritan Society
Subpart
Yes (part of a larger organization)
Parent Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 13, 2018
Last Updated
Aug 13, 2018

Practice Location

Address
700 W MAIN ST
ZIP Code
57012-2012
Phone
(605) 296-3442

Authorized Official

Name
GEORGE GRANT TRIBBLE
Title
EXECUTIVE VP
Phone
(605) 362-3900

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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