Provider Demographics
NPI:1013911940
Name:SAMARITAN CARE, INC.
Entity Type:Organization
Organization Name:SAMARITAN CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR GENERALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:GORFI
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:330-682-3885
Mailing Address - Street 1:400 S CROWN HILL RD
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-9553
Mailing Address - Country:US
Mailing Address - Phone:330-682-3885
Mailing Address - Fax:330-682-0148
Practice Address - Street 1:400 S CROWN HILL RD
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-9553
Practice Address - Country:US
Practice Address - Phone:330-682-3885
Practice Address - Fax:330-682-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHMTB-52733416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000155905OtherANTHEM
OH2047903Medicaid
OH=========001OtherTRI-CARE
OH2047903Medicaid
590012503Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH=========007OtherMEDICAL MUTUAL OF OHIO