Good Samaritan Society - Boise Village
LBN: The Evangelical Lutheran Good Samaritan Society
Good Samaritan Society - Boise Village is an health care organization with primary practice located at 129 E 50Th St , Garden City ID 83714-2407. The organization recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Agencies / In Home Supportive Care is the primary health care specialty.
The Evangelical Lutheran Good Samaritan Society can be contacted via phone (208) 333-2180, or through Nylander, Raye Nae via phone (605) 362-3100.
Contact Information
Primary practice address
129 E 50Th St
Garden City ID 83714-2407
Phone: (208) 333-2180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X |
Profile Details
| NPI number | 1053392548 |
|---|---|
| LBN Legal business name | The Evangelical Lutheran Good Samaritan Society |
| DBA Doing business as | Good Samaritan Society - Boise Village |
| Authorized official | Nylander, Raye Nae |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jun 3rd, 2024 - about 3 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053392548 | NPPES |
| Idaho | Other | 0000100129001 | REGENCE |
| Idaho | Other | 01123 | REGENCE |
| Idaho | MEDICAID | 000371800 | REGENCE |
| Idaho | Other | 805490400 | REGENCE |
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