The Evangelical Lutheran Good Samaritan Society in Ellis - Parenteral & Enteral Nutrition
The Evangelical Lutheran Good Samaritan Society - NPI 1629069091
The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition in Ellis, Kansas. The Evangelical Lutheran Good Samaritan Society practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1629069091. The last update date is 2021-10-25.
The Evangelical Lutheran Good Samaritan Society's current location address is 1101 Spruce St, Ellis, Kansas. You can contact this provider via phone number 7857263101 and fax number 7857264029. The mailing address for The Evangelical Lutheran Good Samaritan Society is 1101 Spruce St, Ellis, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Evangelical Lutheran Good Samaritan Society |
|---|---|
| Address | 1101 Spruce St, Ellis, Kansas |
| Phone Number | 7857263101 |
| Fax Number | 7857264029 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Nylander Raye Nae |
| Telephone Number | 6053623100 |
NPI Number Detail
| NPI Number | 1629069091 |
|---|---|
| Provider Enumeration Date | 2005-11-03 |
| Last Updated Date | 2021-10-25 |
Provider Mailing Address Detail
| Address | 1101 Spruce St |
|---|---|
| City | Ellis |
| State | Kansas (KS) |
| Post Code | 676371757 |
| Phone Number | 7857263101 |
| Fax Number | 7857264029 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100112200A | KS | -- | |
| 1100 | KS | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to The Evangelical Lutheran Good Samaritan Society?
The The Evangelical Lutheran Good Samaritan Society has been issued the NPI (National Provider Identifier) 1629069091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the The Evangelical Lutheran Good Samaritan Society located?
The The Evangelical Lutheran Good Samaritan Society is located at 1101 Spruce St, Ellis, KS 676371757.
What is The Evangelical Lutheran Good Samaritan Society's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The The Evangelical Lutheran Good Samaritan Society's specialized field of practice is Parenteral & Enteral Nutrition, and the corresponding taxonomy code that categorizes this area of specialization is 332Bp3500X.
On what date did the The Evangelical Lutheran Good Samaritan Society receive its 1629069091 assignment from the Centers for Medicare & Medicaid Services?
The The Evangelical Lutheran Good Samaritan Society was assigned its 1629069091 by the Centers for Medicare & Medicaid Services on 2005-11-03.
As of what date were the details pertaining to The Evangelical Lutheran Good Samaritan Society last refreshed?
The information related to the The Evangelical Lutheran Good Samaritan Society, including its address, specialty, and other relevant details, was last updated on 2021-10-25.