| Samaritan Family Care Inc | |
|
201 N Ludlow Street Phillipsburg OH 45354 | |
| (937) 884-5112 | |
| (937) 884-7855 |
| Full Name | Samaritan Family Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 N Ludlow Street, Phillipsburg, 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 P O Box 488 201 N Ludlow Street Phillipsburg OH 45354 Ph: (937) 884-5112 | Samaritan Family Care Inc 201 N Ludlow Street Phillipsburg OH 45354 Ph: (937) 884-5112 |
| NPI Number | 1417902982 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417902982 | NPI | - | NPPES |
| 0230664 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |