The Evangelical Lutheran Good Samaritan Society
NPI #1902385693 in Clear Lake, South Dakota
Provider Information
- NPI Number
- 1902385693
- 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
- 913 COL PETE ST S
- City
- Clear Lake
- State
- South Dakota
- ZIP Code
- 57226-2124
- Phone
- (605) 874-2159
Authorized Official
- Name
- GEORGE GRANT TRIBBLE
- Title
- EXECUTIVE VP
- Phone
- (605) 362-3900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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