Organization Active NPI

Samaritan Health Center, Inc.

  • Clinic/Center
  • Durham, NC
National Provider Identifier
1356790471
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAMARITAN HEALTH CENTER, INC.
Practice address
3205 University Dr Ste 107
Durham, NC 27707-3770
Phone
(919) 407-8223
Fax
(866) 331-8301
NPI assigned
Jun 9, 2016
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Ms. Elizabeth Brill, MPS
Title
Executive Director
Phone
(919) 407-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3205 University Dr Ste 107
Durham, NC 27707-3770

Mailing address

PO Box 51339
Durham, NC 27717
Phone (919) 407-8223

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2146149Samaritan Health Center3205 University Drive, Suite 107, Durham, NC 27707Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Locations

3205 University Dr
Ste 107
Durham, NC 27707
Phone (919) 407-8223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1356790471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51339",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27717",
            "telephone_number": "919-407-8223",
            "fax_number": "866-331-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 UNIVERSITY DR STE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073770",
            "telephone_number": "919-407-8223",
            "fax_number": "866-331-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-407-8223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.