Samaritan House Community Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SAMARITAN HOUSE COMMUNITY CENTER

Practice address

2910 S 8TH St
Rogers, AR 72758-1031

Phone

(479) 636-4198

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Debbie K Rambo

Title

Executive Director

Phone

(479) 636-4198

Specialties & licenses 2

Addresses

Other names 1

• Samaritan Community Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Samaritan Community Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Samaritan House Community Center

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1386370559
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Martinez, LPC

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1689532327

  Multi-Specialty

  Medicare reassignment NPD
• Jill Elizabeth Self-Pike, D.M.D

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1073632220
  Medicare reassignment NPD
• Jenna Kaye Waselues, D.D.S.

  • Dentist
  • Fayetteville, AR
  • NPI 1982087722
  Medicare reassignment NPD
• Pamela Kate Morris, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1427458272

  AR

  Medicare reassignment NPD
• Kayla Tedder

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1407561756
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1932953809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727570939",
            "telephone_number": "479-636-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S 8TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581031",
            "telephone_number": "479-636-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HOUSE COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "RAMBO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-636-4198"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Salazar, ANP
• Gabrieal Salinas
• Maya Giada Salinas
• Taylor Blair Salyer
• Samaritan House Community Center
• Casey Sams, RD
• Pearl Anne Samuel, M.B.B.S
• Damaris Sanchez, LAC
• Esmeralda Mirella Sanchez
• Megan Breanna Sanchez, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rogers, AR
• Providers in Rogers, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.