Organization
MEDICAL CENTER AT ELIZABETH PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SCOTT ANDERSON (CONTROLLER)
(937) 660-8751
Entity
Organization
Contact information
Practice address
1 ELIZABETH PLACE, DAYTON, OH 45417-3455
(937) 660-3077
(937) 660-3088
Mailing address
PO BOX 88265, DEPARTMENT A, CHICAGO, IL 60680-1265
(937) 660-3077
(937) 660-3088
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2723959
—
OH
Enumeration date
05/28/2006
Last updated
02/23/2011
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