St. Vincent'S - A Prospera Community
LBN: The Evangelical Lutheran Good Samaritan Society
St. Vincent'S - A Prospera Community is an health care organization with primary practice located at 1021 N 26Th St , Bismarck ND 58501-3109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
The Evangelical Lutheran Good Samaritan Society can be contacted via phone (701) 233-6888, or through Vanden Hull, Eric via phone (605) 362-5510.
Contact Information
Primary practice address
1021 N 26Th St
Bismarck ND 58501-3109
Phone: (701) 233-6888
Fax: (701) 223-3127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1005B | North Dakota |
Profile Details
| NPI number | 1639274731 |
|---|---|
| LBN Legal business name | The Evangelical Lutheran Good Samaritan Society |
| DBA Doing business as | St. Vincent'S - A Prospera Community |
| Authorized official | Vanden Hull, Eric |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Nov 28th, 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 | 1639274731 | NPPES |
| North Dakota | Other | 1005B | STATE |
| North Dakota | MEDICAID | 1469240 | STATE |
| North Dakota | Other | 1347 | STATE |
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