NPI Information

  • NPI: 1497068605
  • Provider Name: SAMARITAN NETWORK, INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: SAMARITANS NETWORK,INC.
  • Address: 300 S PEARL ST
    WILLIAMSTON, NC
    ZIP 27892
  • Phone: (252) 799-0300

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NPI Details

SAMARITAN NETWORK, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Williamston, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SAMARITAN NETWORK, INC. NPI is 1497068605. The provider is registered as an organization entity type.
The provider Is Doing Business As Samaritans Network,inc..

The provider's business location address is:

300 S PEARL ST
WILLIAMSTON, NC
ZIP 27892-330
Phone: (252) 799-0300
Fax: (252) 799-0314

The provider's authorized official is Marian Brown Cannon .
The authorized official title is Executive Director and has the following contact phone number (252) 799-0300.

The enumeration date for this NPI number is 7/16/2010 and was last updated on 7/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302R00000XHealth Maintenance OrganizationMHL-058-041NORTH CAROLINANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-058-041NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11477683928MEDICAIDNORTH CAROLINA
21396981676MEDICAIDNORTH CAROLINA
31619173366MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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