Samaritan Crisiscare | |
601 S Edwin C Moses Blvd First Floor, Nw Building Dayton OH 45417-3424 | |
(937) 224-4646 | |
(937) 276-8269 |
Full Name | Samaritan Crisiscare |
---|---|
Speciality | Community/behavioral Health |
Location | 601 S Edwin C Moses Blvd, Dayton, Ohio |
Authorized Official Name and Position | Tabatha L Masters (BILLING) |
Authorized Official Contact | 9377344334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Samaritan Crisiscare 601 S Edwin C Moses Blvd Dayton OH 45417-3424 Ph: (937) 734-4334 | Samaritan Crisiscare 601 S Edwin C Moses Blvd First Floor, Nw Building Dayton OH 45417-3424 Ph: (937) 224-4646 |
NPI Number | 1235490939 |
---|---|
Provider Enumeration Date | 05/30/2012 |
Last Update Date | 08/25/2021 |
Certification Date | 08/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235490939 | NPI | - | NPPES |
2876697 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | ODADAS 6894 (Ohio) | Primary |
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