# CITY OF DAYTON

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

## Provider details

- **NPI number:** 1265433130
- **Authorized official:** JEFFREY PAYNE II (DIRECTOR)
- **Authorized official phone:** (937) 333-4504

## Contact information

- **Practice address:** 300 N MAIN ST, DAYTON, OH 45402-1208
- **Practice address phone:** (888) 449-8112
- **Practice address fax:** (888) 965-4620
- **Mailing address:** PO BOX 632458, CINCINNATI, OH 45263-2458
- **Mailing address phone:** (888) 449-8112
- **Mailing address fax:** (888) 965-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 02/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000021399 | ANTHEM | OH |
| 05 | — | 0978330 | — | OH |
| 01 | — | 590008510 | RAILROAD MEDICARE | OH |