The Evangelical Lutheran Good Samaritan Society in Lodi - Parenteral & Enteral Nutrition
The Evangelical Lutheran Good Samaritan Society - NPI 1992789523
The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition in Lodi, Wisconsin. 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 1992789523. The last update date is 2014-07-31.
The Evangelical Lutheran Good Samaritan Society's current location address is 700 Clark St, Lodi, Wisconsin. You can contact this provider via phone number 6085923241 and fax number 6085923293. The mailing address for The Evangelical Lutheran Good Samaritan Society is 700 Clark St, Lodi, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Evangelical Lutheran Good Samaritan Society |
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Address | 700 Clark St, Lodi, Wisconsin |
Phone Number | 6085923241 |
Fax Number | 6085923293 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CFO |
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Authorized Official Name | Nylander Raye Nae |
Telephone Number | 6053623100 |
NPI Number Detail
NPI Number | 1992789523 |
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Provider Enumeration Date | 2005-12-06 |
Last Updated Date | 2014-07-31 |
Provider Mailing Address Detail
Address | 700 Clark St |
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City | Lodi |
State | Wisconsin (WI) |
Post Code | 535551010 |
Phone Number | 6085923241 |
Fax Number | 6085923293 |
Provider's Primary Taxonomy Detail
Speciality | Parenteral & Enteral Nutrition |
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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 |
---|---|---|---|
553711 | WI | DEAN HEALTH PLAN | |
20150000 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to The Evangelical Lutheran Good Samaritan Society by the Centers for Medicare & Medicaid Services (CMS)?
The The Evangelical Lutheran Good Samaritan Society has been assigned the NPI (National Provider Identifier) 1992789523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where The Evangelical Lutheran Good Samaritan Society is located?
The The Evangelical Lutheran Good Samaritan Society is situated at the following address: 700 Clark St, Lodi, WI, 535551010.
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 Parenteral & Enteral Nutrition, and it falls under the taxonomy code 332Bp3500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992789523 to The Evangelical Lutheran Good Samaritan Society?
The Centers for Medicare & Medicaid Services originally issued the 1992789523 to The Evangelical Lutheran Good Samaritan Society on 2005-12-06.
When was the information regarding The Evangelical Lutheran Good Samaritan Society, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to The Evangelical Lutheran Good Samaritan Society, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-31.
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