# DAYTON VA

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

## Provider details

- **NPI number:** 1346262813
- **Authorized official:** MR. RAY HUGGER (OUTREACH COORDINATOR)
- **Authorized official phone:** (765) 973-6915

## Contact information

- **Practice address:** 4351 SO. A, RICHMOND, IN 47374-6052
- **Practice address phone:** (765) 973-6915
- **Mailing address:** 3205 CART RD, RICHMOND, IN 47374-9345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | 39000717A | IN | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 08/22/2020