The Evangelical Lutheran Good Samaritan Society
Clinic/Center, Physical Therapy in Belington, WV. Organization (NPI-2).
NPI number1982154993
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1982154993
- Entity type
- Organization (NPI-2)
- Legal business name
- The Evangelical Lutheran Good Samaritan Society
- Organization subpart
- Yes
- Enumeration date
- Oct 13, 2016
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Good Samaritan Society - Barbour County (Doing Business As)
Practice location
216 Samaritan CirBelington, WV 26250-8141
Phone 304-823-2555 · Fax 304-823-3136
Mailing address
4800 W 57th StSioux Falls, SD 57108-2239
Phone 605-362-3100
Authorized official
Grant Tribble
Executive Vp - Finance
6053623100
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