Organization
SAMARITAN FAMILY CARE INC
Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
Huber Heights Samaritan Pediatrics
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
6251 GOOD SAMARITAN WAY, SUITE 210C, HUBER HEIGHTS, OH 45424-1051
(937) 233-3910
(937) 233-8389
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3100
(937) 233-8389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230502
—
OH
Enumeration date
05/18/2006
Last updated
01/04/2021
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