Organization
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Active
Other names
Patterson Park Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY HOPKINS (CEO)
(937) 586-9733
Entity
Organization
Contact information
Practice address
1074 PATTERSON RD, KETTERING, OH 45420-1522
(937) 258-6330
Mailing address
1323 W 3RD ST, DAYTON, OH 45402-6714
(937) 586-9733
(937) 586-9736
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
93.224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085678
—
OH
Enumeration date
02/05/2013
Last updated
12/21/2021
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