SAMARITAN FAMILY CARE LLC NPI 1629536206

NPI Information

NPI: 1629536206
Provider Name: SAMARITAN FAMILY CARE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2163151

Address:
713 BROADWAY ST STE 301A
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 372-1234
Get Directions

SAMARITAN FAMILY CARE LLC is a family medicine in Paintsville, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAMARITAN FAMILY CARE LLC NPI is 1629536206. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

713 BROADWAY ST STE 301A
PAINTSVILLE, KY
ZIP 41240-465
Phone: (606) 372-1234
Fax: (606) 372-1240

The provider's authorized official is Antoin N Hana .
The authorized official title is Owner and has the following contact phone number (606) 349-8100.

The CLIA number assigned to this NPI record is 18D2163151 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2019 and was last updated on 12/30/2021.

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	Primary
1	101Y00000X	Counselor		No
2	104100000X	Social Worker		No
3	207Q00000X	Family Medicine		Yes
4	207QA0505X	Family Medicine	Adult Medicine	No
5	208000000X	Pediatrics		No
6	225X00000X	Occupational Therapist		No
7	235500000X	Specialist/Technologist		No
8	235Z00000X	Speech-Language Pathologist		No
9	363A00000X	Physician Assistant		No
10	363LF0000X	Nurse Practitioner	Family	No
11	363LP2300X	Nurse Practitioner	Primary Care	No

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
1	7100730130	MEDICAID	KENTUCKY
2	7100600430	MEDICAID	KENTUCKY
3	7100702010	MEDICAID	KENTUCKY
4	7100706120	MEDICAID	KENTUCKY
5	7100727750	MEDICAID	KENTUCKY
6	7100600030	MEDICAID	KENTUCKY
7	7100730140	MEDICAID	KENTUCKY
8	7100600040	MEDICAID	KENTUCKY
9	7100596740	MEDICAID	KENTUCKY
10	7100712610	MEDICAID	KENTUCKY
11	7100729800	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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