| Good Samaritan Hospital & Health Center | |
|
921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464 | |
| (937) 461-1376 | |
| (937) 499-7813 |
| Full Name | Good Samaritan Hospital & Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 921 S. Edwin C. Moses Blvd., Dayton, Ohio |
| Authorized Official Name and Position | Timothy D. Snider (CFO) |
| Authorized Official Contact | 9372782254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Samaritan Hospital & Health Center 921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464 Ph: (937) 461-1376 | Good Samaritan Hospital & Health Center 921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464 Ph: (937) 461-1376 |
| NPI Number | 1730387333 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730387333 | NPI | - | NPPES |
| 2390470 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kenvic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Elizabeth Pl, Sixth Floor, Dayton, OH 45408 Phone: 937-222-5963 | |
Joseph S. Leithold, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Indian Ripple Rd, Suite 210, Dayton, OH 45440 Phone: 937-427-9202 Fax: 937-427-9671 | |
Digestive Endoscopy Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4340 Clyo Rd Ste 100, Dayton, OH 45459 Phone: 937-534-7330 Fax: 937-297-2208 | |
Community Health Centers Of Greater Dayton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1323 W 3rd St, Dayton, OH 45402 Phone: 937-586-9733 Fax: 937-461-9698 | |
Infectious Disease Physicians Of Dayton Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 N Main St, Infusion Services, Dayton, OH 45415 Phone: 937-279-5803 Fax: 937-279-5873 | |
Specialty Medicine Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459 Phone: 937-429-0607 | |
Glenda Lopez-blaza Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8710 N Dixie Dr, Dayton, OH 45414 Phone: 937-415-0501 Fax: 937-415-0520 |