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NPI Code Detail

MEDICARE: DAYTON OSTEOPATHIC HOSPITAL

MEDICARE: DAYTON OSTEOPATHIC HOSPITAL
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
1261QH0100XHealth Service Clinic/Center

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 : 1679548739
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYTON OSTEOPATHIC HOSPITAL
Provider Business Mailing 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
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 : DIRECTOR
Name : DANIEL D HAIBACH
Credential :
Telephone Number : 937-384-4836
Provider Enumeration Date : 02/22/2006
Last Update Date : 08/22/2020

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Directions to “DAYTON OSTEOPATHIC HOSPITAL ” Practice Location

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