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Organization
SAMARITAN FAMILY CARE INC
Active
Organization
SAMARITAN FAMILY CARE INC
Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
Huber Heights Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN FAMILY CARE INC
Authorized official
KENNETH PRUNIER (CEO PRESIDENT)
(937) 208-8252
Entity
Organization
Contact information
Practice address
6251 GOOD SAMARITAN WAY, SUITE 210B, HUBER HEIGHTS, OH 45424-5253
(937) 233-2055
(937) 233-5479
Mailing address
6251 GOOD SAMARITAN WAY, SUITE 210B, HUBER HEIGHTS, OH 45424-5253
(937) 233-2055
(937) 233-5479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372878
—
OH
Enumeration date
04/04/2007
Last updated
11/08/2013
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