Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
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
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
MS. JOEL FLUIT (CFO)
(605) 362-5416
Entity
Organization
Contact information
Practice address
650 LAKE RD, ATWOOD, KS 67730-1535
(785) 626-9015
(785) 626-9415
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
—
100112340A
—
KS
01
—
1200
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/26/2005
Last updated
11/18/2025
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