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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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1013860162
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Provider Business Mailing Address
First Line : 2132 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1991
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2132 E 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45403-1991
Country : US
Telephone Number : 937-586-9733
Fax Number :
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : ERIC B. BLAKE
Credential :
Telephone Number : 740-452-7685
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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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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