Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
Authorized official
MR. JOEL FLUIT (VICE PRESIDENT, FINANCE)
(605) 362-3100
Entity
Organization
Contact information
Practice address
3025 TERRACE DR, LAS CRUCES, NM 88011-5053
(575) 556-2103
(575) 556-2181
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00HHB1
BLUE CROSS BLUE SHIELD
NM
Enumeration date
11/22/2005
Last updated
03/03/2023
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