Organization
THE DAYTON HEART CENTER, INC.
Active
Parent organization
THE DAYTON HEART CENTER, INC.
Other names
Greenville Heart Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE DAYTON HEART CENTER, INC.
Authorized official
MR. RONNY E. SHUMAKER (EXECUTIVE DIRECTOR)
(937) 276-8506
Entity
Organization
Contact information
Practice address
742 SWEITZER ST, GREENVILLE, OH 45331-1099
(937) 547-9701
Mailing address
1530 NEEDMORE RD, 3RD FLOOR, DAYTON, OH 45414-3969
(937) 277-4274
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9919881
MEDICARE PTAN
—
Enumeration date
10/03/2011
Last updated
10/03/2011
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