# 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 - Atwood, Good Samaritan Society - Atwood
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649260167
- **Legal business name:** THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
- **Authorized official:** MS. JOEL FLUIT (CFO)
- **Authorized official phone:** (605) 362-5416

## Contact information

- **Practice address:** 650 LAKE RD, ATWOOD, KS 67730-1535
- **Practice address phone:** (785) 626-9015
- **Practice address fax:** (785) 626-9415
- **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:** 10/26/2005
- **Last updated:** 11/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100112340A | — | KS |
| 01 | — | 1200 | BLUE CROSS BLUE SHIELD | KS |