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The Evangelical Lutheran Good Samaritan Society
Parenteral & Enteral Nutrition Supplies (DME) in Fennimore, Wisconsin
NPI 1619958493

The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition Supplies (DME) based in Sioux Falls, WI and is specialized in Parenteral & Enteral Nutrition. The Evangelical Lutheran Good Samaritan Society practices in Fennimore, WI. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1619958493 and holds a License No. (Wisconsin).

The current practice location address for The Evangelical Lutheran Good Samaritan Society is 1850 11Th St, Fennimore, WI and can be reached out via phone at 608-822-6100 and via fax at 608-822-3011.

Location: 1850 11Th St, Fennimore, WI, 57117-5038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619958493
Provider Name
The Evangelical Lutheran Good Samaritan Society
Credential
Provider Entity Type
Organization
Address
1850 11Th St, Fennimore, WI, 57117-5038
Phone Number
608-822-6100
Fax Number
608-822-3011
Provider Enumeration Date
11/09/2005
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
20150500 05 WI
542174 01 WI DEAN HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
1850 11Th St
City
Fennimore
State
Wisconsin
Zip
53809-1612
Phone Number
608-822-6100
Fax Number
608-822-3011
person
Provider Business Mailing Address Details
Address
1850 11Th St
City
Fennimore
State
Wisconsin
Zip
53809-1612
Phone Number
608-822-6100
Fax Number
608-822-3011
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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