Healthcare Provider Details

I. General information

NPI: 1831230184
Provider Name (Legal Business Name): DAYTON PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S LUDLOW ST
DAYTON OH
45402-1812
US

IV. Provider business mailing address

115 S LUDLOW ST
DAYTON OH
45402-1812
US

V. Phone/Fax

Practice location:
  • Phone: 937-542-3405
  • Fax: 937-542-3456
Mailing address:
  • Phone: 937-542-3405
  • Fax: 937-542-3456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIANNE URBAN
Title or Position: DIRECTOR OF HEALTH SERVICES
Credential: RN, CS, BSN, MSED
Phone: 937-542-3405