NPIMap

Organization Active NPI

Samaritans Network, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Williamston, NC
National Provider Identifier
1396981676
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-058-032 Issued in NC
Legal business name
SAMARITANS NETWORK, INC
Practice address
408 N Martin Luther King Jr Dr
202 South Harrell Street
Williamston, NC 27892-1931
Phone
(252) 799-0300
Fax
(252) 799-0314
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Marian Brown Cannon, BSW
Title
Ceo
Phone
(252) 799-0300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-058-013 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-058-032 NC Primary

Addresses

Primary practice location

408 N Martin Luther King Jr Dr
202 South Harrell Street
Williamston, NC 27892-1931

Mailing address

408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931
Phone (252) 799-0300

Other identifiers 2

IdentifierTypeStateIssuer
8301348MedicaidNC
7804585MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Samaritans Network Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1396981676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N MARTIN LUTHER KING JR DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921931",
            "telephone_number": "252-799-0300",
            "fax_number": "252-799-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MARTIN LUTHER KING JR DR",
            "address_2": "202 SOUTH HARRELL STREET",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921931",
            "telephone_number": "252-799-0300",
            "fax_number": "252-799-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANS NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-799-0300",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-058-013",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-058-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301348",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.