GOOD SAMARITAN SOCIETY - LAKOTA
NPI 1851870984
Nurse Practitioner in Lakota, ND

Active since August 09, 2018CLIA 35D0860882 · Waiver
608 4TH AVE SW, LAKOTA, ND 58344(701) 247-2902 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Good Samaritan Society - Lakota NPPES

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

GOOD SAMARITAN SOCIETY - LAKOTA (NPI 1851870984) is a healthcare organization registered as a nurse practitioner in Lakota, North Dakota and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists George Grant Tribble, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1851870984
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address608 4TH AVE SWLakota, ND 58344-7500
Mailing Address608 4th Ave SwLakota, ND 58344-7500
Organization SubpartYes
Authorized OfficialGeorge Grant TribbleExecutive Vp · (605) 362-3900
Enumeration DateAugust 9, 2018
NPI 1851870984 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.

608 4TH AVE SW, Lakota, ND 58344

Other Names 1

Doing Business AsGood Samaritan Society - Lakota

Other Identifiers 1

Other000000Medicare Part B

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 35D0860882

Good Samaritan Society Lakota · Lakota, ND
Active · expires Aug 31, 2026
CLIA Number35D0860882
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaula Denum
Laboratory Phone(701) 247-2902
Laboratory LocationGood Samaritan Society Lakota608 4th Ave SW, Lakota, ND 58344
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 2

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

Nursing Facility/Intermediate Care Facility
608 4TH AVE SW
LAKOTA, ND 58344
Skilled Nursing Facility
608 4TH AVE SW
LAKOTA, ND 58344

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 1851870984. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 608 4th Ave SW, Lakota, ND 58344. The listed phone number is (701) 247-2902.

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 35D0860882) is associated with this NPI, valid through August 31, 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 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.