NPIMap

Organization Active NPI

Good Samaritan Hospital & Health Center

Doing business as Samaritan Homeless Clinic

  • Primary Care Clinic/Center
  • Dayton, OH
National Provider Identifier
1770741597
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GOOD SAMARITAN HOSPITAL & HEALTH CENTER
Doing business as
Samaritan Homeless Clinic
Practice address
921 S. Edwin C. Moses Blvd.
Dayton, OH 45417-3464
Phone
(937) 461-1376
Fax
(937) 499-7813
NPI assigned
May 29, 2008
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Mr. Timothy D. Snider
Title
Cfo
Phone
(937) 278-2612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

921 S. Edwin C. Moses Blvd.
Dayton, OH 45417-3464

Mailing address

921 S. Edwin C. Moses Blvd
Dayton, OH 45417-3464
Phone (937) 461-1376

Other names 1

  • Samaritan Homeless Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Samaritan Hospital Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41 Catherine St
Dayton, OH 45402
Phone (937) 461-1376

6175 W 3rd St
Dayton, OH 45417
Phone (937) 496-7137

7271 N Main St
Ste 1
Dayton, OH 45415
Phone (937) 276-8000

80 E Woodbury Dr
Dayton, OH 45415
Phone (937) 320-2020

840 S Patterson Blvd
Dayton, OH 45402
Phone (937) 461-1376

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1770741597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S. EDWIN C. MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173464",
            "telephone_number": "937-461-1376",
            "fax_number": "937-499-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S. EDWIN C. MOSES BLVD.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173464",
            "telephone_number": "937-461-1376",
            "fax_number": "937-499-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "937-278-2612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Homeless Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.