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The Evangelical Lutheran Good Samaritan Society
Parenteral & Enteral Nutrition Supplies (DME) in Jackson, Minnesota
NPI 1134119563

The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition Supplies (DME) based in Sioux Falls, MN and is specialized in Parenteral & Enteral Nutrition. The Evangelical Lutheran Good Samaritan Society practices in Jackson, MN. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1134119563 and holds a License No. (Minnesota).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 601 West St, Jackson, MN and can be reached out via phone at 507-847-3100 and via fax at 507-847-2119.

Location: 601 West St, Jackson, MN, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134119563
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
601 West St, Jackson, MN, 57117-5038
Phone Number
507-847-3100
Fax Number
507-847-2119
Provider Enumeration Date
10/26/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7122567 01 MN EVERCARE (MEDICA)
7100215 01 MN PMAP EVERCARE
8671GO 01 MN BLUE CROSS BLUE SHIELD
673342500 05 MN
institution
Provider Business Practice Location Address Details
Address
601 West St
City
Jackson
State
Minnesota
Zip
56143-1200
Phone Number
507-847-3100
Fax Number
507-847-2119
person
Provider Business Mailing Address Details
Address
601 West St
City
Jackson
State
Minnesota
Zip
56143-1200
Phone Number
507-847-3100
Fax Number
507-847-2119
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
()
Definition
Definition to come...
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