The Evangelical Lutheran Good Samaritan Society, NPI 1326238874
Community Based Hospice Care Agency in Prescott, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1326238874
NPI Entity Type Organization
Provider Name The Evangelical Lutheran Good Samaritan Society
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1065 Ruth St, Suite 108-109, Prescott, AZ, US
Provider Mailing Address 4800 W 57th St, Sioux Falls, SD, US, 571082239
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name George Grant Tribble
Official Position EXEUTIVE VP
Phone 605-362-3900

Primary Taxonomy

Taxonomy Code

251G00000X

Taxonomy Name Community Based Hospice Care Agency
Classification

Hospice Care, Community Based

Group

Agencies

License State AZ
Description Definition to come...

Other Organization Name

Good Samaritan Society-Prescott Hospice
Doing Business As

Business Address

The Evangelical Lutheran Good Samaritan Society
1065 Ruth St
Suite 108-109

Prescott, AZ, US

Phone: 928-778-5655
Fax: 928-445-2497

Mailing Address

The Evangelical Lutheran Good Samaritan Society
4800 W 57th St
Sioux Falls, SD, US
ZIP 571082239

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service 2.16.840.1.113883.3.1068.1 OTHER Yes 2720 Dundee Rd # 302, Northbrook, IL, US

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