Healthcare Provider Details

I. General information

NPI: 1457379448
Provider Name (Legal Business Name): DAYTON CHILDREN'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ
DAYTON OH
45404-1815
US

IV. Provider business mailing address

1 CHILDRENS PLZ
DAYTON OH
45404-1815
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3000
  • Fax: 937-641-3066
Mailing address:
  • Phone: 937-641-3000
  • Fax: 937-641-3066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRIS BERGMAN
Title or Position: VP, FINANCE, CFO
Credential: CFO
Phone: 937-641-3338