City of Samaritans PBC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

CITY OF SAMARITANS PBC

Doing business as

Samaritan

Practice address

901 24TH Ave S
Seattle, WA 98144-3032

Phone

(509) 590-0480

NPI assigned

Oct 11, 2021

Organization subpart

No

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

Authorized official

Name

Jonathan Kumar

Title

Ceo

Phone

(312) 363-8734

Specialties & licenses 1

Addresses

Other names 1

• Samaritan Doing business as

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637712000000",
    "number": "1184386781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 24TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 24TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443032",
            "telephone_number": "509-590-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAMARITANS PBC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-363-8734"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Supports Brokerage Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• Supports Brokerage Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.