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General NPI Number Information
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NPI Number | 1326845397
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Entity Type | Organization
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Legal Business Name | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 3901 S MARION RD
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City | SIOUX FALLS
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State | SD
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Zip | 57106-1722
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Country | US
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Telephone | 605-361-3311
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Fax | 605-361-2220
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Provider Business Mailing Address
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Address Line | PO BOX 5038
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City | SIOUX FALLS
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State | SD
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Zip | 57117-5038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT REVENUE CYCLE
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Name | TONY MORRISON
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Credential |
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Telephone | 605-328-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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