Active NPI
Samaritan Health Center, Inc.
- Clinic/Center
- Durham, NC
National Provider Identifier
1356790471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2146149 | Samaritan Health Center | Certificate of waiver | Mar 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Durham, NC
- NPI 1356768592
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
- Jessica Salyer, N.P.
- Sam's Club Optical (Sam's Club Optical 30-4831)
- Shelby Justin Sama, DDS
- Zainab Samad, M.D., M.H.S.
- Isabel Paloma Samaniego, FNP
- Kimba Sambou, MA, LPA
- Lauren Kay Samford, PHARMD
- Samir J Naik, Ddsii, PLLC (Southpoint Family Dentistry)
- Jocelyn Nicole Sammons, BSN, RN
- Rachel L Sammons, PTA
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.