| Samaritan Homeless Clinic | |
|
921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464 | |
| (937) 461-1376 | |
| (937) 499-7813 |
| Full Name | Samaritan Homeless Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 921 S. Edwin C. Moses Blvd., Dayton, Ohio |
| Authorized Official Name and Position | Timothy D. Snider (CFO) |
| Authorized Official Contact | 9372782612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Homeless Clinic 921 S. Edwin C. Moses Blvd Dayton OH 45417-3464 Ph: (937) 461-1376 | Samaritan Homeless Clinic 921 S. Edwin C. Moses Blvd. Dayton OH 45417-3464 Ph: (937) 461-1376 |
| NPI Number | 1770741597 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770741597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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