Provider Demographics
NPI:1609192657
Name:SAMARITAN HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:SAMARITAN HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRILL
Authorized Official - Suffix:
Authorized Official - Credentials:MPS
Authorized Official - Phone:919-407-8223
Mailing Address - Street 1:PO BOX 51339
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27717
Mailing Address - Country:US
Mailing Address - Phone:919-407-8223
Mailing Address - Fax:866-331-8301
Practice Address - Street 1:507 E. KNOX STREET
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701
Practice Address - Country:US
Practice Address - Phone:919-407-8223
Practice Address - Fax:866-331-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center