| Samaritan Professional Corporation | |
|
1025 Center St Ashland OH 44805-4011 | |
| (513) 557-3195 | |
| (513) 557-3347 |
| Full Name | Samaritan Professional Corporation |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1025 Center St, Ashland, Ohio |
| Authorized Official Name and Position | Danny Boggs (CEO) |
| Authorized Official Contact | 4192896317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Professional Corporation 1025 Center St Ashland OH 44805-4011 Ph: (419) 289-6317 | Samaritan Professional Corporation 1025 Center St Ashland OH 44805-4011 Ph: (513) 557-3195 |
| NPI Number | 1811948862 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811948862 | NPI | - | NPPES |
| 2658486 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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