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Durable Medical Equipment, Dialysis Supplies
Nursing Facility Supplies, Customized Equipment

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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

Medical Equipment Supplier Yellow Pages

Idaho Falls, Idaho

Provider NPI: 1366432023

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


Practice Location:
840 E ELVA ST  IDAHO FALLS, ID 83401 US
Tel: 208-523-4795  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
000372000ID05
BLUE CROSS IDAHO01453ID01
REGENCE BLUE SHIELD000010012984ID01
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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