Local City Search for Medical Equipment Suppliers THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Parenteral and Enteral Nutrition
Lakota, North Dakota
Provider NPI: 1477544716
Organization Information:Organization Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice Location:
608 4TH AVE SW LAKOTA, ND 58344 US
Tel: 701-247-2902 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:
608 4TH AVE SW LAKOTA, ND 58344 US
Tel: 701-247-2902 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 |
|---|---|---|---|
| 000030097 | ND | 05 | |
| BLUE CROSS BLUE SHIELD | 4853 | ND | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
