- Enrollment id
- O20070811000095
- Enrollment state
- ND
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1912998386
- Multiple npi flag
- N
- Ccn
- 355095
- Associate id
- 1951218817
- Organization name
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- Doing business as name
- GOOD SAMARITAN SOCIETY OAKES
- Incorporation date
- 1922-09-29
- Incorporation state
- ND
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- GOOD SAMARITAN SOCIETY - OAKES
- Affiliation entity name
- GOOD SAMARITAN SOCIETY
- Affiliation entity id
- 726
- Address line 1
- 213 N 9TH ST
- City
- OAKES
- State
- ND
- Zip code
- 584741305