Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Active
Parent organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Other names
Good Samaritan Society - George
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Authorized official
JOEL A FLUIT (CFO)
(605) 362-5416
Entity
Organization
Contact information
Practice address
324 1ST AVE N, GEORGE, IA 51237-1029
(712) 475-3391
(712) 475-3900
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
—
0228742
—
IA
05
—
0801464
—
IA
01
—
65247
BLUE CROSS BLUE SHIELD
IA
01
—
F248090
MIDLANDS CHOICE
IA
Enumeration date
10/25/2005
Last updated
06/18/2024
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