# MEDICAL CENTER AT ELIZABETH PLACE LLC

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

## Provider details

- **NPI number:** 1639126220
- **Authorized official:** TIMOTHY SCOTT ANDERSON (CONTROLLER)
- **Authorized official phone:** (937) 660-8751

## Contact information

- **Practice address:** 1 ELIZABETH PLACE, DAYTON, OH 45417-3455
- **Practice address phone:** (937) 660-3077
- **Practice address fax:** (937) 660-3088
- **Mailing address:** PO BOX 88265, DEPARTMENT A, CHICAGO, IL 60680-1265
- **Mailing address phone:** (937) 660-3077
- **Mailing address fax:** (937) 660-3088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 02/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2723959 | — | OH |