| Organization Name: | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| NPI Number: | 1043291461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYE NAE NYLANDER (CFO) |
| Mailing Address: | 820 S Denison St Saint Francis |
| State: | KS US |
| Postal Code: | 677563541 |
| Phone Number: | 7853322531 |
| Fax Number: | 7853322716 |
| NPI Enumeration Date: | 11/11/2005 |
| NPI Last Update Date: | 04/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |