# DAYTON CHILDREN'S HOSPITAL

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

## Provider details

- **NPI number:** 1073848321
- **Authorized official:** MR. CHRIS E. BERGMAN (VP/CHIEF FINANCIAL OFFICER/ACCOUNTI)
- **Authorized official phone:** (937) 641-3338

## Contact information

- **Practice address:** 3333 WEST TECH ROAD, MIAMISBURG, OH 45342
- **Practice address phone:** (937) 641-5725
- **Practice address fax:** (937) 641-6115
- **Mailing address:** ONE CHILDREN'S PLAZA, DAYTON, OH 45404-1898
- **Mailing address phone:** (937) 641-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2009
- **Last updated:** 05/10/2019