NPI Database
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Contact Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
129 E 50TH ST
GARDEN CITY, ID83714-2407
 Phone: 208-333-2180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NPI # 1053392548
LBN Legal business name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official RAYE NAE NYLANDER - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/10/2005
Last updated 06/03/2024 - About 2 years ago
Identifiers
ID Medicaid 000371800
ID Other 01123 BC - IDAHO
ID Other 805490400 MEDICAID ID - TBI PROGRAM
ID Other 0000100129001 REGENCE
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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