Healthcare Provider Details

I. General information

NPI: 1265433130
Provider Name (Legal Business Name): CITY OF DAYTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 02/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N MAIN ST
DAYTON OH
45402-1208
US

IV. Provider business mailing address

PO BOX 632458
CINCINNATI OH
45263-2458
US

V. Phone/Fax

Practice location:
  • Phone: 888-449-8112
  • Fax: 888-965-4620
Mailing address:
  • Phone: 888-449-8112
  • Fax: 888-965-4620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY PAYNE II
Title or Position: DIRECTOR
Credential:
Phone: 937-333-4504