Provider Demographics
NPI:1508863184
Name:SAMARITAN ALLIANCE L.L.C.
Entity Type:Organization
Organization Name:SAMARITAN ALLIANCE L.L.C.
Other - Org Name:SAMARITAN HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACTS MGR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:BS CHFM
Authorized Official - Phone:859-226-7105
Mailing Address - Street 1:310 S LIMESTONE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-3008
Mailing Address - Country:US
Mailing Address - Phone:859-226-7000
Mailing Address - Fax:859-226-7154
Practice Address - Street 1:310 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3008
Practice Address - Country:US
Practice Address - Phone:859-226-7000
Practice Address - Fax:859-226-7154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100104282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY01000397Medicaid
KY180007Medicare ID - Type Unspecified