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Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Millard, Good Samaritan - Millard
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MR. TONY MORRISON (VP, CHIEF REVENUE CYCLE OFFICER)
(605) 328-8380
Entity
Organization
Contact information
Practice address
12856 DEAUVILLE DR, OMAHA, NE 68137-3204
(402) 895-2266
(402) 895-8965
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-8311
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
—
00784
BLUE CROSS BLUE SHIELD
NE
01
—
F248048
MIDLANDS CHOICE
NE
Enumeration date
11/11/2005
Last updated
08/24/2026
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