Organization · Type 2 NPI

The Evangelical Lutheran Good Samaritan Society

Skilled Nursing Facility · Manson, IA

NPI number 1114917614 Active

Practice location

1402 Main St
Manson, IA 50563-5160

Call (712) 469-3908 Map

Fax (712) 469-3113

Mailing address

PO Box 5038
Sioux Falls, SD 57117-5038

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed
Nursing Facility Supplies (DME)	332BN1400X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

8 other providers at this address

NPI record

NPI: 1114917614
Entity type: Organization (Type 2)
Issued: Oct 26, 2005
Last updated: Jun 23, 2026
Status: Active
Subpart: Yes of The Evangelical Lutheran Good Samaritan Society

Other names

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Good Samaritan Society - Manson · doing business as
Good Samaritan Society - Manson · doing business as

Authorized official

Tony Morrison
VP, Chief Revenue Cycle Officer
(701) 417-4014

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114917614

The Evangelical Lutheran Good Samaritan Society's National Provider Identifier is 1114917614, issued on Oct 26, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Manson, IA. The record was last updated on Jun 23, 2026.