Samaritan Homeless Clinic

LBN: Good Samaritan Hospital & Health Center
Samaritan Homeless Clinic is an health care organization with primary practice located at 921 S. Edwin C. Moses Blvd. , Dayton OH 45417-3464. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Good Samaritan Hospital & Health Center can be contacted via phone (937) 461-1376, or through Snider, Timothy D. via phone (937) 278-2254.

Contact Information

Primary practice address
921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464
Phone: (937) 461-1376
Fax: (937) 499-7813
Website:
Map and Directions
Authorized official contact:
Name: Snider, Timothy D.
Phone: (937) 278-2254

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1730387333
LBN Legal business name Good Samaritan Hospital & Health Center
DBA Doing business as Samaritan Homeless Clinic
Authorized official Snider, Timothy D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Dec 19th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730387333 NPPES
Ohio MEDICAID 2390470

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