Organization
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Active
Other names
Victor Cassano Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY HOPKINS (EXECUTIVE DIRECTOR)
(937) 586-9733
Entity
Organization
Contact information
Practice address
165 S EDWIN C MOSES BLVD, DAYTON, OH 45402-8472
(937) 972-0303
(937) 262-7143
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
—
3152510
—
OH
Enumeration date
04/07/2011
Last updated
02/16/2022
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