Provider Demographics
NPI:1265433130
Name:CITY OF DAYTON
Entity type:Organization
Organization Name:CITY OF DAYTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:937-333-4504
Mailing Address - Street 1:PO BOX 632458
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2458
Mailing Address - Country:US
Mailing Address - Phone:888-449-8112
Mailing Address - Fax:888-965-4620
Practice Address - Street 1:300 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1208
Practice Address - Country:US
Practice Address - Phone:888-449-8112
Practice Address - Fax:888-965-4620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH590008510OtherRAILROAD MEDICARE
OH000000021399OtherANTHEM
OH0978330Medicaid
OH590008510OtherRAILROAD MEDICARE