Organization Active NPI

Samaritan Health Care, PC

  • Rural Health Clinic/Center
  • Reed City, MI
National Provider Identifier
1093370264
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SAMARITAN HEALTH CARE, PC
Practice address
4361 220TH Ave
Reed City, MI 49677-8594
Phone
(616) 225-0202
Fax
(616) 225-0207
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark D Clark, MD
Title
President
Phone
(231) 260-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

4361 220TH Ave
Reed City, MI 49677-8594

Mailing address

811 E Kent Rd
Greenville, MI 48838-9791
Phone (616) 225-0202

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Health Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1093370264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E KENT RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389791",
            "telephone_number": "616-225-0202",
            "fax_number": "616-225-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 220TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778594",
            "telephone_number": "616-225-0202",
            "fax_number": "616-225-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HEALTH CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-260-1632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.