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GOOD SAMARITAN SOCIETY - CORSICA
NPI 1811476500
Nurse Practitioner in Corsica, SD

Active since August 13, 2018CLIA 43D0893674 · Waiver
455 N DAKOTA AVE, CORSICA, SD 57328(605) 946-5467(605) 946-5346 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Good Samaritan Society - Corsica NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN SOCIETY - CORSICA (NPI 1811476500) is a healthcare organization registered as a nurse practitioner in Corsica, South Dakota and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists George Grant Tribble, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1811476500
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address455 N DAKOTA AVECorsica, SD 57328-2110
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239
Phone(605) 946-5467
Fax(605) 946-5346
Organization SubpartYes
Authorized OfficialGeorge Grant TribbleExecutive Vp · (605) 362-3900
Enumeration DateAugust 13, 2018
✔ NPI 1811476500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
455 N DAKOTA AVE, Corsica, SD 57328
Open in Google Maps ↗

Other Names 1

Doing Business AsGood Samaritan Society - Corsica

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D0893674

Good Samaritan Society - Corsica · Corsica, SD
Active · expires Oct 25, 2026
CLIA Number43D0893674
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorKammy Ellwanger
Laboratory Phone(605) 946-5467
Laboratory LocationGood Samaritan Society - Corsica455 North Dakota Avenue, Corsica, SD 57328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAINA LONNEMAN
Physical Therapist
455 N DAKOTA AVE
CORSICA, SD 57328
Douglas County (507) 360-2361
MRS. MARIA LYNN VOSIKA MA CCC-SLP
Speech-Language Pathologist
455 N DAKOTA AVE
CORSICA, SD 57328
Douglas County (605) 946-5467
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
455 N DAKOTA AVE
CORSICA, SD 57328
Douglas County (605) 946-5467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Evangelical Lutheran Good Samaritan Society's NPI number?

The NPI number for The Evangelical Lutheran Good Samaritan Society is 1811476500. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as Good Samaritan Society - Corsica.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 455 N Dakota Ave, Corsica, SD 57328. The listed phone number is (605) 946-5467.

What is The Evangelical Lutheran Good Samaritan Society's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does The Evangelical Lutheran Good Samaritan Society hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D0893674) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Evangelical Lutheran Good Samaritan Society was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.