Organization
SAMARITAN FAMILY CARE INC.
Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
North Dayton Rheumatology
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 200, DAYTON, OH 45415-1180
(937) 890-6792
(937) 890-6828
Mailing address
9000 N MAIN ST, SUITE 200, DAYTON, OH 45415-1180
(937) 890-6792
(937) 890-6828
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603605
—
OH
05
—
2814057
—
OH
Enumeration date
05/24/2006
Last updated
11/08/2013
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