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The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility in Blackduck, MN · enumerated 2005 · authorized official Raye Nae Nylander, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497736169

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Registry record

Entity type Organization (Type 2)
Legal business name The Evangelical Lutheran Good Samaritan Society
Other name <Unavail>
Parent organization The Evangelical Lutheran Good Samaritan Society
Practice address 172 Summit Avenue West, Blackduck, MN, 56630
Fax (218) 835-6737
Enumeration date Nov 9, 2005
Last updated in NPPES Nov 28, 2021

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary
332BN1400X Nursing Facility Supplies (DME) Suppliers Secondary
332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Secondary

Authorized official

Name Raye Nae Nylander
Title Cfo

Other identifiers

Identifier Type State Issuer
8720NO Other MN BLUE CROSS BLUE SHIELD
08629 Other MN BLUE CROSS BS OF MICHIGAN
336240000 Medicaid MN -
01026602 Other MN PREFERRED ONE
7122574 Other MN MEDICA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is The Evangelical Lutheran Good Samaritan Society?
The Evangelical Lutheran Good Samaritan Society is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-28.