Healthcare Provider Details

I. General information

NPI: 1356790471
Provider Name (Legal Business Name): SAMARITAN HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 UNIVERSITY DR STE 107
DURHAM NC
27707-3770
US

IV. Provider business mailing address

PO BOX 51339
DURHAM NC
27717
US

V. Phone/Fax

Practice location:
  • Phone: 919-407-8223
  • Fax: 866-331-8301
Mailing address:
  • Phone: 919-407-8223
  • Fax: 866-331-8301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH BRILL
Title or Position: EXECUTIVE DIRECTOR
Credential: MPS
Phone: 919-407-8223