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Organization
SAMARITAN FAMILY CARE INC
Active
Organization
SAMARITAN FAMILY CARE INC
Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
Family Medicine of Vandalia
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN FAMILY CARE INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDEN)
(937) 208-8273
Entity
Organization
Contact information
Practice address
810 FALLS CREEK DR, SUITE B, VANDALIA, OH 45377-8600
(937) 454-0317
(937) 454-1668
Mailing address
810 FALLS CREEK DR, SUITE B, VANDALIA, OH 45377-8600
(937) 454-0317
(937) 454-1668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552134
—
OH
Enumeration date
10/23/2006
Last updated
11/08/2013
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