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SAMARITAN FAMILY CARE INC. NPI 1851344501


NPI Information

NPI: 1851344501
Provider Name: SAMARITAN FAMILY CARE, INC.

Doing Business As: BROOKVILLE FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0704394

Address:
950 SALEM ST
BROOKVILLE, OH
ZIP 45309
Phone: (937) 833-4581
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SAMARITAN FAMILY CARE, INC. is a family medicine in Brookville, OH. 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, INC. NPI is 1851344501. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brookville Family Care.

The provider's business location address is:

950 SALEM ST
BROOKVILLE, OH
ZIP 45309-227
Phone: (937) 833-4581
Fax: (937) 833-5359

The provider's authorized official is Kenneth Prunier .
The authorized official title is Ceo/president and has the following contact phone number (937) 208-8213.

The CLIA number assigned to this NPI record is 36D0704394 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/17/2006 and was last updated on 11/8/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10224537MEDICAIDOHIO
29931742MEDICARE PINOHIO
39931743MEDICARE PINOHIO

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: 4/28/2024

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