Whalio Doctors

NPI 1003395799

The Evangelical Lutheran Good Samaritan Society

Organisation Nurse Practitioner Canistota, SD

Practice location

Address
700 W Main St, Canistota, SD 57012-2012
Phone
(605) 296-3442
Fax
(605) 296-3306
Mailing address
4800 W 57th St, Sioux Falls, SD 57108-2239

Authorised official

Name
George Grant Tribble
Title
Executive Vp
Phone
(605) 362-3900

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Registry record

NPI
1003395799
Entity type
Organization
NPI issued
13 Aug 2018
Record last updated
13 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.