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NPI Code Detail

MEDICARE: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

MEDICARE: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BN1400XNursing Facility Supplies (DME)
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)
3314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1870OTHERKSBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548250095
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-312-8897
Fax Number : 605-312-9802
Provider Business Practice Location Address
First Line : 810 E 30TH AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-4340
Country : US
Telephone Number : 620-663-1189
Fax Number : 620-663-4549
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JOEL FLUIT
Credential :
Telephone Number : 605-312-8897
Provider Enumeration Date : 10/26/2005
Last Update Date : 05/30/2026

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Directions to “THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.