| Organization Name: | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| NPI Number: | 1255321816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY MARIE TURNER (ADMINISTRATOR) |
| Mailing Address: | 708 S Jefferson Way Indianola |
| State: | IA US |
| Postal Code: | 501253216 |
| Phone Number: | 5159612596 |
| Fax Number: | 5159612860 |
| NPI Enumeration Date: | 10/25/2005 |
| NPI Last Update Date: | 03/12/2013 |
| 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: | |