The Evangelical Lutheran Good Samaritan Society is a Parenteral & Enteral Nutrition Supplies (DME) based in Sioux Falls, ID and is specialized in Parenteral & Enteral Nutrition. The Evangelical Lutheran Good Samaritan Society practices in Boise, ID. The NPI Number for The Evangelical Lutheran Good Samaritan Society is 1053392548 and holds a License No. (Idaho).
The current practice location address for The Evangelical Lutheran Good Samaritan Society is 3115 N Sycamore Dr, Boise, ID and can be reached out via phone at 208-343-7726 and via fax at 208-343-8987. You can also correspond with The Evangelical Lutheran Good Samaritan Society through the mailing address at PO BOX 5038, SIOUX FALLS, SD - 57117-5038 (mailing address contact number: 605-362-3100).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805490400 | 01 | ID | MEDICAID ID - TBI PROGRAM |
| 0000100129001 | 01 | ID | REGENCE |
| 000371800 | 05 | ID | |
| 01123 | 01 | ID | BC - IDAHO |
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