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Organization
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Organization
EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - St John's
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
TONY LEE MORRISON (VP, CHIEF REV CYCLE OFFICER)
(605) 328-8380
Entity
Organization
Contact information
Practice address
3410 CENTRAL AVE, KEARNEY, NE 68847-2942
(308) 234-1888
(308) 236-7157
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00507
BLUE CROSS BLUE SHIELD
NE
05
—
28A043
—
NE
01
—
F248050
MIDLANDS CHOICE
NE
Enumeration date
11/08/2005
Last updated
08/20/2026
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