Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - Ellsworth Village, Good Samaritan - Ellsworth Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MS. JOEL FLUIT (CFO)
(605) 362-5416
Entity
Organization
Contact information
Practice address
1156 HIGHWAY 14, ELLSWORTH, KS 67439-8661
(785) 472-3167
(785) 472-5440
Mailing address
PO BOX 5038, SIOUX FALLS, SD 57117-5038
(605) 362-3100
(605) 362-3265
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
05
—
100108640A
—
KS
01
—
751
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/26/2005
Last updated
11/21/2025
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