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The Evangelical Lutheran Good Samaritan Society
Nursing Facility Supplies (DME) in Siren, Wisconsin
NPI 1235110016

The Evangelical Lutheran Good Samaritan Society is a Nursing Facility Supplies (DME) based in Sioux Falls, WI and is specialized in Nursing Facility Supplies. The Evangelical Lutheran Good Samaritan Society practices in Siren, WI. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1235110016 and holds a License No. (Wisconsin).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 23926 4Th Ave S, Siren, WI and can be reached out via phone at 715-349-2292 and via fax at 715-349-7218.

Location: 23926 4Th Ave S, Siren, WI, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235110016
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
23926 4Th Ave S, Siren, WI, 57117-5038
Phone Number
715-349-2292
Fax Number
715-349-7218
Provider Enumeration Date
11/09/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
20158900 05 WI
1026758 01 WI PREFERRED ONE - INPATIENT
7122742 01 WI MEDICA
9840CA 01 WI BLUE CROSS BLUE SHIELD
1014259 01 WI PREFERRED ONE - THERAPY
institution
Provider Business Practice Location Address Details
Address
23926 4Th Ave S
City
Siren
State
Wisconsin
Zip
54872-8334
Phone Number
715-349-2292
Fax Number
715-349-7218
person
Provider Business Mailing Address Details
Address
23926 4Th Ave S
City
Siren
State
Wisconsin
Zip
54872-8334
Phone Number
715-349-2292
Fax Number
715-349-7218
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...
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