Provider Demographics
NPI:1568133577
Name:COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Entity Type:Organization
Organization Name:COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-586-9733
Mailing Address - Street 1:PO BOX 932293
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0010
Mailing Address - Country:US
Mailing Address - Phone:937-586-9733
Mailing Address - Fax:937-586-9736
Practice Address - Street 1:6255 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3873
Practice Address - Country:US
Practice Address - Phone:937-586-9733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care