The Evangelical Lutheran Good Samaritan Society
Skilled Nursing Facility in Hermiston, OR. Organization (NPI-2).
NPI number1073594867
StatusActive
Last updated in NPPESJun 6, 2008
Details
- NPI
- 1073594867
- Entity type
- Organization (NPI-2)
- Legal business name
- The Evangelical Lutheran Good Samaritan Society
- Organization subpart
- Yes
- Enumeration date
- Nov 8, 2005
- Last updated
- Jun 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | – | – |
Other names
- Hermiston Good Samaritan Center (Doing Business As)
Practice location
970 W Juniper StHermiston, OR 97838-2197
Phone 541-567-8337 · Fax 541-567-0485
Mailing address
Po Box 5038Sioux Falls, SD 57117-5038
Phone 605-362-3100 · Fax 605-362-3265
Authorized official
Raye Nae Nylander
Cfo
6053623100
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