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The Evangelical Lutheran Good Samaritan Society
Parenteral & Enteral Nutrition Supplies (DME) in Blackduck, Minnesota
NPI 1497736169

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 Blackduck, MN. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1497736169 and holds a License No. (Minnesota).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 172 Summit Avenue West, Blackduck, MN and can be reached out via phone at 218-835-4218 and via fax at 218-835-6737.

Location: 172 Summit Avenue West, Blackduck, MN, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497736169
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
172 Summit Avenue West, Blackduck, MN, 57117-5038
Phone Number
218-835-4218
Fax Number
218-835-6737
Provider Enumeration Date
11/09/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8720NO 01 MN BLUE CROSS BLUE SHIELD
08629 01 MN BLUE CROSS BS OF MICHIGAN
336240000 05 MN
01026602 01 MN PREFERRED ONE
7122574 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
172 Summit Avenue West
City
Blackduck
State
Minnesota
Zip
56630
Phone Number
218-835-4218
Fax Number
218-835-6737
person
Provider Business Mailing Address Details
Address
172 Summit Avenue West
City
Blackduck
State
Minnesota
Zip
56630
Phone Number
218-835-4218
Fax Number
218-835-6737
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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