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Nursing Facility Supplies, Customized Equipment

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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Medical Equipment Supplier Yellow Pages

Roseville, Minnesota

Provider NPI: 1437131349

Organization Information:
Organization Name:  THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY


Practice Location:
1415 COUNTY ROAD B W  ROSEVILLE, MN 55113 US
Tel: 651-631-1616  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition
N332BN1400XSuppliers
Durable Medical Equipment & Medical Supplies
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD5A23GOMN01
030443MN05
PREFERRED ONE1026655MN01
PMAP EVERCARE7100093MN01
PREFERRED ONE INPATIENT1026654MN01
COMPREHENSIVE CARE5A23GO9MN01
82516300MN05
UCARENH0088MN01
MEDICA7111788MN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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