Organization
SAMARITAN FAMILY CARE, INC
Active
Other names
Gem City Surgical Breast Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PRUNIER (PRESIDENT/CEO)
(937) 499-8204
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, DAYTON, OH 45415-1180
(937) 832-9310
(937) 832-8616
Mailing address
9000 N MAIN ST, DAYTON, OH 45415-1180
(937) 832-9310
(937) 832-8616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081226
—
OH
Enumeration date
02/08/2013
Last updated
11/08/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up