Good Samaritan Society - Fairlawn Village
LBN: The Evangelical Lutheran Good Samaritan Society
Good Samaritan Society - Fairlawn Village is an health care organization with primary practice located at 3457 Ne Division St , Gresham OR 97030-4602. 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 (503) 667-1965, or through Nylander, Raye Nae via phone (605) 362-3100.
Contact Information
Primary practice address
3457 Ne Division St
Gresham OR 97030-4602
Phone: (503) 667-1965
Fax: (503) 667-1932
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 | 1801878293 |
|---|---|
| LBN Legal business name | The Evangelical Lutheran Good Samaritan Society |
| DBA Doing business as | Good Samaritan Society - Fairlawn Village |
| Authorized official | Nylander, Raye Nae |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 19th, 2005 |
| 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 | 1801878293 | NPPES |
| Oregon | MEDICAID | 800131 | |
| Oregon | MEDICAID | 506383 |
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