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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI # 1326238874
LBN Legal business name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official GEORGE TRIBBLE - (EXEUTIVE VP)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2007
Last updated 09/20/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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