Organization
SAMARITAN FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOIN N HANA MD/OWNER (OWNER)
(606) 349-8100
Entity
Organization
Contact information
Practice address
713 BROADWAY ST STE 301A, PAINTSVILLE, KY 41240-1465
(606) 372-1234
(606) 372-1240
Mailing address
PO BOX 697, PRESTONSBURG, KY 41653-0697
(606) 874-2300
(606) 874-2888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
225X00000X
Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100596740
—
KY
05
—
7100600030
—
KY
05
—
7100600040
—
KY
05
—
7100600430
—
KY
05
—
7100702010
—
KY
05
—
7100706120
—
KY
05
—
7100712610
—
KY
05
—
7100727750
—
KY
05
—
7100729800
—
KY
05
—
7100730130
—
KY
05
—
7100730140
—
KY
Enumeration date
03/04/2019
Last updated
12/30/2021
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