National Provider Identifier Database

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Hospice Care, Community Based


Contact Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
1065 RUTH ST
SUITE 108-109
PRESCOTT, AZ86301
Phone: 928-778-5655
Fax: 928-445-2497
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI Number 1326238874
Legal business name
LBN
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official GEORGE TRIBBLE - (EXEUTIVE VP)
Entity Organization
Organization subpart No
Enumeration date 07/31/2007
Last updated 09/20/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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