THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Medical Equipment Supplier Yellow Pages
Jeffersontown, Kentucky
Provider NPI: 1013998780
Organization Information:Organization Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice Location:
3500 GOOD SAMARITAN WAY JEFFERSONTOWN, KY 40299 US
Tel: 502-267-7403 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:
3500 GOOD SAMARITAN WAY JEFFERSONTOWN, KY 40299 US
Tel: 502-267-7403 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BN1400X | Suppliers Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | ||
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM BLUE CROSS BLUE SH | 00000054394 | KY | 01 |
BLUE CROSS BLUE SHIELD | 000000054394 | KY | 01 |
12501466 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin