Samaritan Village

LBN: Samaritan Village
Samaritan Village is an health care organization with primary practice located at 528 Morris Ave , Bronx NY 10451. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Samaritan Village can be contacted via phone (718) 292-4640, or through Madray, Charles via phone (718) 206-2000.

Contact Information

Primary practice address
528 Morris Ave Bronx NY 10451
Phone: (718) 292-4640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madray, Charles
Phone: (718) 206-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1104298363
LBN Legal business name Samaritan Village
DBA Doing business as
Authorized official Madray, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2015
Last updated Apr 29th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104298363 NPPES
New York MEDICAID 00245309

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