THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Address: 1022 N Dakota St, Canton, SD 57013-1004
Phone: 6059872696

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (NPI# 1093294787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093294787
Entity Type Organization
Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other Organization Name GOOD SAMARITAN SOCIETY - CANTON
Practice Address 1022 N Dakota St
Canton
SD 57013-1004
Mailing Address 4800 W 57th St
Sioux Falls
SD 57108-2239
Practice Telephone 6059872696
Practice Fax Number 6059874198
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Authorized Official Name GEORGE GRANT TRIBBLE (EXECUTIVE VP)
Authorized Official Telephone 6053623900
Is Organization Subpart Y
Parent Organization Name THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Good Samaritan Society - Canton Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497217251 The Evangelical Lutheran Good Samaritan Society In Home Supportive Care 45-090 Namoku St. Cottage H, Kaneohe, HI 96744 2019-04-02
1851853816 The Evangelical Lutheran Good Samaritan Society In Home Supportive Care 1415 Lilac Dr N Ste 260, Golden Valley, MN 55422-4545 2019-04-01
1740769595 The Evangelical Lutheran Good Samaritan Society Nurse Practitioner 301 S Highway 12b, Park River, ND 58270 2018-08-13
1952888414 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 2765 Virginia Avenue N., New Hope, MN 55427 2018-07-26
1780186536 The Evangelical Lutheran Good Samaritan Society In Home Supportive Care 1217 Ne Burnside Rd Ste 704, Gresham, OR 97030-5770 2018-03-07
1881112290 The Evangelical Lutheran Good Samaritan Society Skilled Nursing Facility 4825 Jericho Way, Rapid City, SD 57702-9694 2017-09-06
1982154993 The Evangelical Lutheran Good Samaritan Society Clinic/Center 216 Samaritan Cir, Belington, WV 26250-8141 2016-10-13
1659725364 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 400 S Mckinley St, Warren, MN 56762-1439 2016-04-19
1649640236 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 2015-09-25
1760861975 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 1051 Mulberry Street, Taylors Falls, MN 55084 2015-05-20

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 4800 West 57th Street,p.o. Box 5038, Sioux Falls, SD 57117-5038
Oregon Corporations, Companies and Business Names THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 4800 West 57th Street, Sioux Falls, SD 57117
Iowa Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Cothe Evangelical Lutheran Good Samaritan Society, 4800 West 57th Streetp.o. Box 5038, Sioux Falls, SD 57117
Ohio Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 4800 West 57th Street, Po Box 5038, Sioux Falls, SD 57117-5038
Indiana Business Entities THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY Po Box 5038, 4800 West 57th Street, Sioux Falls, SD 57117-5038
Oklahoma Business Registrations THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY The, 1000 W. Avenue North, Sioux Falls, SD 57104-0000

Office Location

Street Address 1022 N DAKOTA ST
City CANTON
State SD
Zip Code 57013-1004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578544482 The Evangelical Lutheran Good Samaritan Society Durable Medical Equipment & Medical Supplies 1022 N Dakota St, Canton, SD 57013-1004 2005-11-08
1275673816 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 1022 N Dakota St, Canton, SD 57013-1004 2007-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275687741 Melissa Brandner Dentist 1110 W 5th St, Canton, SD 57013 2007-01-22
1699841064 Canton School District Local Education Agency (LEA) 800 N Main, Canton, SD 57013 2006-11-28
1033140454 Sanford Health Network Clinical Nurse Specialist 400 N Hiawatha Drive, Canton, SD 57013 2006-07-05
1669440434 Chad Lane Tieszen Chiropractor 128 N Dakota St, Canton, SD 57013 2006-03-09
1245780717 Chanesse Schaefer Physician Assistant 400 N Hiawatha Dr, Canton, SD 57013 2016-10-09
1497955769 Amy M Olderbak Occupational Therapist 440 N Hiawatha Dr, Canton, SD 57013 2007-07-24
1245384718 Gordon Schulte Dentist 1110 W 5th St, Canton, SD 57013 2007-01-22
1134273600 Dr. Gordon D Schulte PC Dentist 1110 W 5th St, Canton, SD 57013 2007-01-22
1790184547 Cedar Mobility LLC Non-emergency Medical Transport (VAN) 402 E Poplar Dr, Canton, SD 57013-1024 2014-08-18
1588165401 Emily Honken Specialist/Technologist 800 N Main St, Canton, SD 57013-1213 2018-02-26
Find all providers in zip 57013

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1891286928 Joseph Vincent Bautista Doromal Nurse Practitioner 111 Mountain Brook Dr, Canton, GA 30115-9045 2018-05-24
1245748060 Renita Roychelle Strickland Nurse Practitioner 498 Chattin Dr, Canton, GA 30115-8240 2018-01-15
1487176921 Nguyet Tran Tyler Nurse Practitioner 1558 Riverstone Pkwy, Canton, GA 30114-2898 2017-07-15
1255865820 Mercedita Ungab-canete Nurse Practitioner 4019 Sarah Ann Dr, Canton, MI 48188-2193 2017-04-20
1720447477 Shafiq U Rehman Nurse Practitioner 41667 Quail Ct, Canton, MI 48188-5228 2016-02-22
1396119145 Marie Posy Nurse Practitioner 506 Blue Mountain Rise, Canton, GA 30114-5713 2015-11-17
1407231202 Advanced Wound and Ostomy Solutions Nurse Practitioner 203 River Green Ave, Canton, GA 30114-5846 2015-07-22
1427474527 Stephen Collins Nurse Practitioner 1684 Fallen Timber St Ne, Canton, OH 44721-3858 2014-03-13
1992030712 Cheryl Lynn Belopotosky Nurse Practitioner 733 Market Ave. Sw, Canton, OH 44702-1018 2009-10-13
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 57013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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