# THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

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

## Provider details

- **NPI number:** 1629069091
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** JOEL FLUIT (CFO)
- **Authorized official phone:** (605) 362-5416

## Contact information

- **Practice address:** 1101 SPRUCE ST, ELLIS, KS 67637-1757
- **Practice address phone:** (785) 726-3101
- **Practice address fax:** (785) 726-4029
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-6585
- **Mailing address fax:** (605) 312-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 05/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100112200A | — | KS |
| 01 | — | 1100 | BLUE CROSS BLUE SHIELD | KS |