Good Samaritan Society - Mountain Home
LBN: The Evangelical Lutheran Good Samaritan Society
Good Samaritan Society - Mountain Home is an health care organization with primary practice located at 300 Good Samaritan Dr , Mountain Home AR 72653-5813. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
The Evangelical Lutheran Good Samaritan Society can be contacted via phone (501) 884-3210, or through Nylander, Raye Nae via phone (605) 362-3100.
Contact Information
Primary practice address
300 Good Samaritan Dr
Mountain Home AR 72653-5813
Phone: (501) 884-3210
Fax: (501) 884-6800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | ||
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X |
Profile Details
| NPI number | 1295726669 |
|---|---|
| LBN Legal business name | The Evangelical Lutheran Good Samaritan Society |
| DBA Doing business as | Good Samaritan Society - Mountain Home |
| Authorized official | Nylander, Raye Nae |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Oct 25th, 2021 - about 4 years 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 | 1295726669 | NPPES |
| Arkansas | Other | 15250 | BLUE CROSS BLUE SHIELD |
| Arkansas | MEDICAID | 109436311 | BLUE CROSS BLUE SHIELD |
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