THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI 1528224813

NPI Information

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY is a hospice care community based in Ottumwa, IA. THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY NPI is 1528224813. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Samaritan Society - Hospice.

The provider's business location address is:

1111 N QUINCY AVE
STE 127
OTTUMWA, IA
ZIP 52501-864
Phone: (641) 682-8041
Fax: (641) 682-8468

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 CLIA number assigned to this NPI record is 16D0387107 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2008 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:

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