The Evangelical Lutheran Good Samaritan Society

NPI #1366986473 in Sioux Falls, South Dakota

Provider Information

NPI Number
1366986473
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
Primary Specialty
Technician, Other
Enumeration Date
Dec 8, 2016
Last Updated
Dec 8, 2016

Practice Location

Address
4800 W 57TH ST
ZIP Code
57108-2239
Phone
(605) 362-3100

Authorized Official

Name
MR. GRANT TRIBBLE
Title
EVP/CEO
Phone
(605) 362-3100

Specialties & Taxonomy Codes

Specialty
Technician, Other

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