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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI 1427530211


NPI Information

NPI: 1427530211
Provider Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Doing Business As: SUNSET DRIVE - A PROSPERA COMMUNITY

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 35D0722935

Address:
1011 BOUNDARY ST NW
MANDAN, ND
ZIP 58554
Phone: (701) 323-1411
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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is a nurse practitioner in Mandan, ND. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI is 1427530211. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sunset Drive - A Prospera Community.

The provider's business location address is:

1011 BOUNDARY ST NW
MANDAN, ND
ZIP 58554-608
Phone: (701) 323-1411
Fax: (701) 323-1395

The provider's authorized official is Eric Vanden Hull .
The authorized official title is Vice President and has the following contact phone number (605) 362-5510.

The CLIA number assigned to this NPI record is 35D0722935 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 5/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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