# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Other names:** Good Samaritan Society - Lakota
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477544716
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** MR. TONY MORRISON (VICE PRESIDENT, CHIEF REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 608 4TH AVE SW, LAKOTA, ND 58344-7500
- **Practice address phone:** (701) 247-2902
- **Practice address fax:** (701) 247-2608
- **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 |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 09/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000030097 | — | ND |
| 05 | — | 355104 | — | ND |
| 01 | — | 4853 | BLUE CROSS BLUE SHIELD | ND |