The Evangelical Lutheran Good Samaritan Society
NPI #1740769595 in Park River, North Dakota
Provider Information
- NPI Number
- 1740769595
- 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
- 301 S HIGHWAY 12B
- City
- Park River
- State
- North Dakota
- ZIP Code
- 58270
- Phone
- (701) 284-7115
Authorized Official
- Name
- GEORGE GRANT TRIBBLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (605) 362-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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