The Evangelical Lutheran Good Samaritan Society in Siren - Skilled Nursing Facility
The Evangelical Lutheran Good Samaritan Society - NPI 1235110016
The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Siren, Wisconsin. The Evangelical Lutheran Good Samaritan Society practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1235110016. The last update date is 2007-11-09.
The Evangelical Lutheran Good Samaritan Society's current location address is 23926 4th Ave S, Siren, Wisconsin. You can contact this provider via phone number 7153492292 and fax number 7153497218. The mailing address for The Evangelical Lutheran Good Samaritan Society is 23926 4th Ave S, Siren, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Evangelical Lutheran Good Samaritan Society |
|---|---|
| Address | 23926 4th Ave S, Siren, Wisconsin |
| Phone Number | 7153492292 |
| Fax Number | 7153497218 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Nylander Raye Nae |
| Telephone Number | 6053623100 |
NPI Number Detail
| NPI Number | 1235110016 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 23926 4th Ave S |
|---|---|
| City | Siren |
| State | Wisconsin (WI) |
| Post Code | 548728334 |
| Phone Number | 7153492292 |
| Fax Number | 7153497218 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20158900 | WI | -- | |
| 1026758 | WI | PREFERRED ONE - INPATIENT | |
| 7122742 | WI | MEDICA | |
| 9840CA | WI | BLUE CROSS BLUE SHIELD | |
| 1014259 | WI | PREFERRED ONE - THERAPY |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to The Evangelical Lutheran Good Samaritan Society by the Centers for Medicare & Medicaid Services?
The The Evangelical Lutheran Good Samaritan Society has been assigned the NPI (National Provider Identifier) 1235110016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of The Evangelical Lutheran Good Samaritan Society?
The The Evangelical Lutheran Good Samaritan Society is situated at 23926 4Th Ave S, in the city of Siren, state of WI, with the zip code 548728334.
What is The Evangelical Lutheran Good Samaritan Society's area of expertise and its corresponding taxonomy classification?
The The Evangelical Lutheran Good Samaritan Society's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235110016 to The Evangelical Lutheran Good Samaritan Society?
The Centers for Medicare & Medicaid Services originally issued the 1235110016 to The Evangelical Lutheran Good Samaritan Society on 2005-11-09.
When was the information regarding The Evangelical Lutheran Good Samaritan Society most recently updated?
The details pertaining to the The Evangelical Lutheran Good Samaritan Society, including its address, specialty, and other relevant information, were last refreshed on 2007-11-09.
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