Good Samaritan Society - University Specialty Center

LBN: The Evangelical Lutheran Good Samaritan Society
Good Samaritan Society - University Specialty Center is an health care organization with primary practice located at 3815 W Broadway , Robbinsdale MN 55422-2207. 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 (612) 332-4262, or through Vandenhull, Eric via phone (605) 362-3100.

Contact Information

Primary practice address
3815 W Broadway Robbinsdale MN 55422-2207
Phone: (612) 332-4262
Fax: (612) 673-6270
Website:
Map and Directions
Authorized official contact:
Name: Vandenhull, Eric
Phone: (605) 362-3100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1659361061
LBN Legal business name The Evangelical Lutheran Good Samaritan Society
DBA Doing business as Good Samaritan Society - University Specialty Center
Authorized official Vandenhull, Eric
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2005
Last updated Nov 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659361061 NPPES
Minnesota Other 5A26UN BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 138218700 BLUE CROSS BLUE SHIELD

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