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GOOD SAMARITAN SOCIETY - SIOUX FALLS CENTER
NPI 1952785883
Nurse Practitioner in Sioux Falls, SD

Active since July 09, 2015CLIA 43D0407044 · Waiver
401 W 2ND ST, SIOUX FALLS, SD 57104(605) 336-6252(605) 333-5366 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Good Samaritan Society - Sioux Falls Center NPPES

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

GOOD SAMARITAN SOCIETY - SIOUX FALLS CENTER (NPI 1952785883) is a healthcare organization registered as a nurse practitioner in Sioux Falls, South Dakota and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Grant Tribble, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1952785883
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTHE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Location Address401 W 2ND STSioux Falls, SD 57104-2313
Mailing Address4800 W 57th StSioux Falls, SD 57108-2239 · (605) 362-3100
Phone(605) 336-6252
Fax(605) 333-5366
Organization SubpartYes
Authorized OfficialGrant TribbleExecutive Vp · 60053623100
Enumeration DateJuly 9, 2015
✔ NPI 1952785883 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.
401 W 2ND ST, Sioux Falls, SD 57104
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Other Names 1

Doing Business AsGood Samaritan Society - Sioux Falls Center

Other Identifiers 1

OtherS109080Medicare Part B

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 43D0407044

Good Samaritan Society - Sioux Falls Center · Sioux Falls, SD
Active · expires Aug 31, 2028
CLIA Number43D0407044
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorLuke A. Wanous
Laboratory Phone(605) 336-6252
Laboratory LocationGood Samaritan Society - Sioux Falls Center401 W 2nd St, Sioux Falls, SD 57104
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 10

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

MICHELLE MASSELINK
Speech-Language Pathologist
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 336-6252
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 336-6252
KAYLA THIELGES
Physical Therapy Assistant
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (507) 828-9908
MR. TODD ALLEN SUNDE P.T.
Physical Therapist
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 336-6252
AEGIS THERAPIES
Clinic/Center (Physical Therapy)
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 336-6252
ASHLEY ANN SCHURR
Speech-Language Pathologist
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 336-6252
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Skilled Nursing Facility
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 336-6252
HAYLEY BLOCK
Occupational Therapist
401 W 2ND ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 705-6667

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 1952785883. It was assigned to this organization in the NPPES registry on July 9, 2015. The provider is doing business as Good Samaritan Society - Sioux Falls Center.

Where is The Evangelical Lutheran Good Samaritan Society located?

The Evangelical Lutheran Good Samaritan Society is located at 401 W 2nd St, Sioux Falls, SD 57104. The listed phone number is (605) 336-6252.

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 43D0407044) is associated with this NPI, valid through August 31, 2028. 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 July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.