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NPI Code Detail

MEDICARE: COMMUNITY HEALTH CENTERS OF GREATER DAYTON

MEDICARE: COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700064037
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Provider Business Mailing Address
First Line : 1323 W 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-6714
Country : US
Telephone Number : 937-586-9733
Fax Number : 937-461-9698
Provider Business Practice Location Address
First Line : 2351 STANLEY AVE
Second Line :
City : DAYTON
State : OH
Zip : 45404-1201
Country : US
Telephone Number : 937-228-0990
Fax Number : 937-228-6090
Authorized Official
Title or Position : CEO
Name : MR. GREGORY HOPKINS
Credential :
Telephone Number : 937-586-9733
Provider Enumeration Date : 02/08/2008
Last Update Date : 12/21/2021

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Directions to “COMMUNITY HEALTH CENTERS OF GREATER DAYTON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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