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Organization

SAMARITAN FAMILY CARE INC

Active
Parent organization
SAMARITAN FAMILY CARE INC
Other names
Gem City Surgical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAMARITAN FAMILY CARE INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8273
Entity
Organization

Contact information

Practice address
9000 N MAIN ST, SUITE 233, DAYTON, OH 45415-1180
(937) 832-9310
(937) 832-8613
Mailing address
9000 N MAIN ST, SUITE 233, DAYTON, OH 45415-1180
(937) 832-9310
(937) 832-8613

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230977
OH
Enumeration date
09/26/2006
Last updated
11/08/2013
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