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Organization
SAMARITAN FAMILY CARE INC
Active
Organization
SAMARITAN FAMILY CARE INC
Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
Samaritan Primary Care Physicians
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
9000 N MAIN ST, SUITE 305, DAYTON, OH 45415-1180
(937) 832-9322
(937) 836-4152
Mailing address
9000 N MAIN ST, SUITE 305, DAYTON, OH 45415-1180
(937) 832-9322
(937) 836-4152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237550
—
OH
Enumeration date
05/24/2006
Last updated
11/08/2013
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