THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (SCOTLAND GOOD SAMARITAN CENTER) - NPI NUMBER 1245370881

Summary

Provider Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (SCOTLAND GOOD SAMARITAN CENTER)

NPI Number: 1245370881

Clasification: Assisted Living Facility (310400000X)

Address:
130 6TH ST
SCOTLAND, SD
ZIP 57059

Phone Number: (605) 583-2216



Detailed Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is an assisted living facility in Scotland, SD. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. The assigned NPI number for this provider is 1245370881 and is registered as an organization entity type.
The provider Is Doing Business As Scotland Good Samaritan Center.

The provider's business address is:

130 6TH ST
SCOTLAND, SD
ZIP 57059-111
Phone: (605) 583-2216
Fax: (605) 583-2256

The provider's authorized official is Raye Nae Nylander .
The authorized official title is Vice President, Cfo and has the following contact phone number (605) 362-3100.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/9/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 310400000X Assisted Living Facility Yes

NPI Record

No. Field Name Field Value
1 NPI 1245370881
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
5 Provider Other Organization Name SCOTLAND GOOD SAMARITAN CENTER
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 130 6TH ST
8 Provider Business Practice Location Address City Name SCOTLAND
9 Provider Business Practice Location Address State Name SD
10 Provider Business Practice Location Address Postal Code 570592111
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 6055832216
13 Provider Business Practice Location Address Fax Number 6055832256
14 Provider Enumeration Date 2/6/2007
15 Last Update Date 7/9/2007
16 Authorized Official Last Name NYLANDER
17 Authorized Official First Name RAYE NAE
18 Authorized Official Title or Position VICE PRESIDENT, CFO
19 Authorized Official Telephone Number 6053623100
20 Healthcare Provider Taxonomy Code 1 310400000X
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Authorized Official Name Prefix Text MRS.

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.