THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Medical Equipment Supplier Yellow Pages
Hoffman, Minnesota
Provider NPI: 1679563878
Organization Information:Organization Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice Location:
104 6TH ST S HOFFMAN, MN 56339 US
Tel: 320-986-2048 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
104 6TH ST S HOFFMAN, MN 56339 US
Tel: 320-986-2048 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | ||
N | 332BN1400X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UCARE OF MN | NH0402 | MN | 01 |
PRIME WEST | 00000281402 | MN | 01 |
PREFERRED ONE | 1026619 | MN | 01 |
MEDICA CHOICE | 7122494 | MN | 01 |
487816700 | MN | 05 | |
BLUE CROSS BLUE SHIELD | 5A16HO | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin