The Evangelical Lutheran Good Samaritan Society

NPI #1083193775 in Scotland, South Dakota

Provider Information

NPI Number
1083193775
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
130 6TH ST
ZIP Code
57059-2111
Phone
(605) 583-2216

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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