| Samaritan Family Care, Inc. | |
|
950 Salem St Brookville OH 45309-8227 | |
| (937) 833-4581 | |
| (937) 833-5359 |
| Full Name | Samaritan Family Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 950 Salem St, Brookville, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Family Care, Inc. 950 Salem St Brookville OH 45309-8227 Ph: (937) 833-4581 | Samaritan Family Care, Inc. 950 Salem St Brookville OH 45309-8227 Ph: (937) 833-4581 |
| NPI Number | 1851344501 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851344501 | NPI | - | NPPES |
| 0224537 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Studebaker Family Practice Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98 Mosier Pkwy, Brookville, OH 45309 Phone: 937-833-4103 Fax: 937-833-3147 |