THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI 1326238874

NPI Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is a hospice care community based in Prescott, AZ. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI is 1326238874. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Society-prescott Hospice.

The provider's business location address is:

1065 RUTH ST
SUITE 108-109
PRESCOTT, AZ
ZIP 86301
Phone: (928) 778-5655
Fax: (928) 445-2497

The provider's authorized official is George Grant Tribble .
The authorized official title is Exeutive Vp and has the following contact phone number (605) 362-3900.

The CLIA number assigned to this NPI record is 03D1071846 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 9/20/2021.

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:

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.