Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society- Home Care of Southwest Minnesota
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MS. RAYE NAE NYLANDER (CFO)
(605) 362-3100
Entity
Organization
Contact information
Practice address
866 1ST AVE N, WINDOM, MN 56101-1727
(507) 831-1788
(507) 831-0736
Mailing address
4800 WEST 57TH STREET P.O. 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
—
00000281401
PRIMEWEST
MN
05
—
047023600
—
MN
01
—
1026763
PREFERRED ONE
MN
01
—
126108
UCARE
MN
01
—
3Y51G0
BLUE CROSS BLUE SHIELD
MN
01
—
5900094
MEDICA
MN
Enumeration date
11/19/2005
Last updated
09/20/2021
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