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Organization
SAMARITAN FAMILY CARE INC
Active
Organization
SAMARITAN FAMILY CARE INC
Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
North Dayton Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN FAMILY CARE INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8213
Entity
Organization
Contact information
Practice address
7111 N MAIN ST, STE 10, DAYTON, OH 45415-2565
(937) 277-2121
(937) 277-2213
Mailing address
7111 N MAIN ST, STE 10, DAYTON, OH 45415-2565
(937) 277-2121
(937) 277-2213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2814100
—
OH
Enumeration date
12/21/2007
Last updated
11/08/2013
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