NPIMap

Organization Active NPI

Samaritan Network, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Williamston, NC
National Provider Identifier
1497068605
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL-058-041 Issued in NC
Legal business name
SAMARITAN NETWORK, INC.
Practice address
300 S Pearl St
Williamston, NC 27892-2330
Phone
(252) 799-0300
Fax
(252) 799-0314
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Mrs. Marian Brown Cannon, BSW
Title
Executive Director
Phone
(252) 799-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MHL-058-041 NC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL-058-041 NC Primary

Addresses

Primary practice location

300 S Pearl St
Williamston, NC 27892-2330

Mailing address

300 S Pearl St
P.O.Box 564
Williamston, NC 27892-2330
Phone (252) 799-0300

Other identifiers 3

IdentifierTypeStateIssuer
1396981676MedicaidNC
1477683928MedicaidNC
1619173366MedicaidNC

Other names 1

  • Samaritans Network,Inc. Doing business as

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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1497068605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PEARL ST",
            "address_2": "P.O.BOX 564",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922330",
            "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": "300 S PEARL ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922330",
            "telephone_number": "252-799-0300",
            "fax_number": "252-799-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-799-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "MHL-058-041",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-058-041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396981676",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477683928",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619173366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritans Network,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 16, 2010; 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.