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The Evangelical Lutheran Good Samaritan Society
Parenteral & Enteral Nutrition Supplies (DME) in Stillwater, Minnesota
NPI 1215927611

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 Stillwater, MN. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1215927611 and holds a License No. (Minnesota).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 1119 Owens St N, Stillwater, MN and can be reached out via phone at 651-439-7180 and via fax at 651-439-4502.

Location: 1119 Owens St N, Stillwater, MN, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215927611
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
1119 Owens St N, Stillwater, MN, 57117-5038
Phone Number
651-439-7180
Fax Number
651-439-4502
Provider Enumeration Date
10/26/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7111789 01 MN MEDICA
5A24ST 01 MN PMAP BLUE PLUS
NH0127 01 MN UCARE OF MN
1026665 01 MN PREFERRED ONE EQUALIZATIO
722519900 05 MN
7100094 01 MN PMAP MEDICA
institution
Provider Business Practice Location Address Details
Address
1119 Owens St N
City
Stillwater
State
Minnesota
Zip
55082-4316
Phone Number
651-439-7180
Fax Number
651-439-4502
person
Provider Business Mailing Address Details
Address
1119 Owens St N
City
Stillwater
State
Minnesota
Zip
55082-4316
Phone Number
651-439-7180
Fax Number
651-439-4502
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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