Samaritan Family Care, Inc.
Organization Active NPI Family Medicine Physician · Brookville, OH
NPI 1851344501 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1851344501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SAMARITAN FAMILY CARE, INC.
- Practice address
- 950 Salem St
Brookville, OH 45309-8227 - Phone
- (937) 833-4581
- Fax
- (937) 833-5359
- NPI assigned
- May 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SAMARITAN FAMILY CARE, INC.
Authorized official
- Name
- Kenneth Prunier
- Title
- Ceo/President
- Phone
- (937) 208-8213
Other NPIs on the same Medicare enrollment 19
Practitioners 85
-
Asha Agarwal, M.D.
-
Joseph P Allen, MD
-
Kayla Marie Bostwick, MSN, APRN, FNP-C
-
Heather Branam, FNP-C
-
Darla Carol Brown, FNP-C
-
Erica Brown, APRN
-
Abdul Butman, MD
-
Brenda Lee Chewning, CNP
-
Mark E Corcoran, MD
-
Dorian Micheal Crouse, PA-C
-
William Casmir Dailey, M.D.
-
Jessica Lynn Denlinger, APRN, FNP-C
-
Alpa Desai, MD
-
Andrew Diller, MD
-
Miriam Emile, MD
-
Susanna Everhart, APRN, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040203000210 | OH | Part B Supplier - Clinic/Group Practice | 5092608372 |
Receives reassigned benefits from 160 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Englewood, OH; Vandalia, OH; New Lebanon, OH; Lewisburg, OH; Huber Heights, OH; Dayton, OH; Brookville, OH |
National Provider Directory
- Part of
- Samaritan Pediatrics SF
Locations
950 Salem St
Brookville, OH 45309
Phone (937) 833-2149
2661 Salem Ave
Dayton, OH 45406
6251 Miami Valley Way
Ste 120A
Dayton, OH 45424
1530 Needmore Rd
Dayton, OH 45414
Phone (937) 277-4274
6251 Miami Valley Way
Ste 210B
Dayton, OH 45424
6251 Miami Valley Way
Ste 210C
Huber Heights, OH 45424
Phone (937) 233-3910
6251 Miami Valley Way
Ste 210A
Huber Heights, OH 45424
Phone (937) 233-2009
600 Aviator Ct
Ste 600
Vandalia, OH 45377
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
950 Salem St
Brookville, OH 45309-8227
Mailing address
950 Salem St
Brookville, OH 45309-8227
Phone (937) 833-4581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0224537 | Medicaid | OH |
Other names
- Brookville Family Care
Other providers in Brookville, OH
- Reed'S Health Advantage, LLC
- John Edward Rhodes Jr.
- Joseph Matthew Rhodes
- Rite Aid of Ohio Inc
- Patricia Rupp-Hunt
- Angelena E Schauer
- Mark Everett Schmidt
- Scott L Hora OD LLC
- Elaine Kay Scott
- Anthony H Shaffer
All providers in Brookville, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.