Organization Active NPI

Samaritan Network, Inc

  • Case Management Agency
  • Williamston, NC
National Provider Identifier
1841424256
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 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 2

IdentifierTypeStateIssuer
7804585MedicaidNC
8301348MedicaidNC

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": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1841424256",
    "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": "2009-05-13",
        "last_updated": "2009-05-13",
        "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_name_prefix": "Ms.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804585",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301348",
            "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 May 13, 2009; 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.