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The Evangelical Lutheran Good Samaritan Society

Organization Active NPI Assisted Living Facility · Rapid City, SD

NPI 1548089857 · NPPES record last updated Oct 4, 2024

Key facts

NPI
1548089857
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice address
1851 City Springs Rd
Rapid City, SD 57702-9613
Phone
(605) 328-6585
NPI assigned
Oct 4, 2024
Organization subpart
No

Authorized official

Name
Joel Fluit
Title
Cfo
Phone
(605) 362-5416

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2319690Good Samaritan Society - St Martin Village
1851 City Springs Road, Rapid City, SD 57702		Certificate of waiverMar 4, 2027

National Provider Directory

Tax ID family
Red Oak Iowa Good Sam C (210 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

1851 City Springs Rd
Rapid City, SD 57702-9613

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Other names

  • Good Samaritan Society - St Martin Village Doing business as

Other providers in Rapid City, SD

All providers in Rapid City, SD · Assisted Living Facility in South Dakota

Sources for this page

Verify at the official NPI Registry.