Organization Active NPI

Samaritans Network Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Williamston, NC
National Provider Identifier
1619173366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-058-013 Issued in NC
Legal business name
SAMARITANS NETWORK INC
Practice address
408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931
Phone
(252) 789-8305
Fax
(252) 789-8305
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-058-013 NC Primary

Addresses

Primary practice location

408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931

Mailing address

408 N Martin Luther King Jr Dr
Williamston, NC 27892-1931
Phone (252) 789-8305

Other identifiers 1

IdentifierTypeStateIssuer
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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619173366",
    "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": "252-789-8305",
            "fax_number": "252-789-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MARTIN LUTHER KING JR DR",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921931",
            "telephone_number": "252-789-8305",
            "fax_number": "252-789-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANS NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "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."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-058-013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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 Aug 22, 2020; 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.