Organization Name: | COMMUNITY HEALTH CENTERS OF GREATER DAYTON |
NPI Number: | 1013197003 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY HOPKINS (CEO) |
Mailing Address: | 1323 W 3rd St Dayton |
State: | OH US |
Postal Code: | 454026714 |
Phone Number: | 9375869733 |
Fax Number: | 9374619698 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 01/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |