The Evangelical Lutheran Good Samaritan Society

NPI #1851870984 in Lakota, North Dakota

Provider Information

NPI Number
1851870984
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 9, 2018
Last Updated
Aug 9, 2018

Practice Location

Address
608 4TH AVE SW
City
Lakota
ZIP Code
58344-7500
Phone
(701) 247-2902

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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