SAMARITAN VILLAGE; NPI #1104298363

Contact Information

SAMARITAN VILLAGE

528 MORRIS AVE
BRONX, NY 10451

Phone: 718-292-4640
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for SAMARITAN VILLAGE

NPI Number 1104298363

LBN Legal business name SAMARITAN VILLAGE

Authorized official CHARLES MADRAY - (VP OF HEALTH SERVICES & COMMUNITY B)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2015

Last updated 04/29/2016 - About 10 years ago

Identifiers

Medicaid

00245309

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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