The Evangelical Lutheran Good Samaritan Society, NPI 1639274731
Skilled Nursing Facility in Bismarck, ND, 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 1639274731
NPI Entity Type Organization
Provider Name The Evangelical Lutheran Good Samaritan Society
Doing Business As
Subpart of Organization The Evangelical Lutheran Good Samaritan Society
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1021 N 26th St, Bismarck, ND, US
Provider Mailing Address 1021 N 26th St, Bismarck, ND, US, 585013109
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Eric Vanden Hull
Official Position VICE PRESIDENT
Phone 605-362-5510

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 1005B
License State ND
Description (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

St. Vincent's - a Prospera Community
Doing Business As

Business Address

The Evangelical Lutheran Good Samaritan Society
1021 N 26th St

Bismarck, ND, US

Phone: 701-233-6888
Fax: 701-223-3127

Mailing Address

The Evangelical Lutheran Good Samaritan Society
1021 N 26th St
Bismarck, ND, US
ZIP 585013109
Phone: 701-233-6888
Fax: 701-223-3127

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1005B ND STATE 01
1469240 ND MEDICAID 05
1347 BCBS 01

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

Other Providers in ND, US

NPI Name Taxonomy Address

1417688698

Tiffany Stoltz

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Certified Registered Nurse Anesthetist

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1629700331

DNP Kara Kreft

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1124759618

FNP-C Danielle Joyce

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Family Nurse Practitioner

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Fargo, ND

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MD Dalton Toay

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Occupational Medicine Physician

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AGNP Jessica Swingen

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LCWS Samantha Navratil

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Clinical Social Worker

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Ste B

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LPCC Naomi Tabassum

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Mental Health Counselor

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Fargo, ND

1295739233

DR. D.D.S. Edward Francis May

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West Fargo, ND

1700326634

MR. LCSW Anthony Miller

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LPCC Trista Schon

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Professional Counselor

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DR. DDS Jason O Dahl

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General Practice Dentistry

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1104253038

LPCC Ashley Vogel

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Fargo, ND

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MS. LCSW Jennifer Kimball Walter

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New Story Counseling Services Llpc

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Counselor

1330 23rd St S

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LPCC Denage Sauve

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Mental Health Counselor

1330 23rd St S

Ste B

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Great Kids Therapy, Ltd.

Organization

Occupational Therapist

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Suite 100

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DR. DDS Patrick J Capp

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LCSW Erika Louise Lake

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Clinical Social Worker

1330 23rd St S

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Fargo, ND

1437778347

LPCC Megan Tarryn Degenstein

Individual

Mental Health Counselor

1330 23rd St S

Ste B

Fargo, ND

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