# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013990142
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN
- **Authorized official:** MR. JOEL FLUIT (VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (605) 362-3100

## Contact information

- **Practice address:** 3025 TERRACE DR, LAS CRUCES, NM 88011-5053
- **Practice address phone:** (575) 556-2103
- **Practice address fax:** (575) 556-2181
- **Mailing address:** PO BOX 5038, SIOUX FALLS, SD 57117-5038
- **Mailing address phone:** (605) 362-3100
- **Mailing address fax:** (605) 362-3265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 03/03/2023