The Evangelical Lutheran Good Samaritan Society
The Evangelical Lutheran Good Samaritan Society is a Skilled Nursing Facility in Moscow, Idaho. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
640 N Eisenhower StMoscow, ID 83843-9588
Phone: (208) 882-6560
Fax: (208) 882-6569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Nursing Facility Supplies (DME) | Taxonomy 332BN1400X |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
Record details
| NPI number | 1598755266 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | The Evangelical Lutheran Good Samaritan Society |
| Authorized official | Raye Nae Nylander — Cfo · (605) 362-3100 |
| Other names | Good Samaritan Society - Moscow Village; Good Samaritan Society - Moscow Village |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | October 25, 2021 |
| Certification date | October 25, 2021 |
| Mailing address | Po Box 5038, Sioux Falls, SD 57117-5038 |
Other providers in Moscow
-
Gritman Medical Center Inc
700 S Main St, Moscow, ID 83843-3056 · (208) 882-4511
-
Kindred Nursing Centers West, LLC
420 Rowe St, Moscow, ID 83843-9319 · (208) 882-4576
-
Moscow North of Cascadia, LLC
640 N Eisenhower St, Moscow, ID 83843-9588 · (208) 401-9500
-
Moscow of Cascadia, LLC
420 Rowe St, Moscow, ID 83843-9319 · (208) 882-4576