# HAMILTON ANCILLARY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003888587
- **Authorized official:** GRACE BROWN (ADMINISTRATOR)
- **Authorized official phone:** (937) 291-7850

## Contact information

- **Practice address:** 3000 MACK RD, FAIRFIELD, OH 45014-5335
- **Practice address phone:** (937) 291-7850
- **Practice address fax:** (937) 291-2962
- **Mailing address:** PO BOX 750430, DAYTON, OH 45475-0430
- **Mailing address phone:** (800) 742-2368
- **Mailing address fax:** (937) 291-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020