# SAMARITAN FAMILY CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAMARITAN FAMILY CARE INC
- **Other names:** Family Physicians of Englewood
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134172661
- **Legal business name:** SAMARITAN FAMILY CARE INC
- **Authorized official:** KENNETH PRUNIER (PRESIDENT/CEO)
- **Authorized official phone:** (937) 208-8213

## Contact information

- **Practice address:** 9000 N MAIN ST, SUITE 300, DAYTON, OH 45415-1180
- **Practice address phone:** (937) 832-1500
- **Practice address fax:** (937) 832-0662
- **Mailing address:** 9000 N MAIN ST, SUITE 300, DAYTON, OH 45415-1180
- **Mailing address phone:** (937) 832-1500
- **Mailing address fax:** (937) 832-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 11/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2022368 | — | OH |