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Organization

DAYTON CHILDREN'S HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRIS E. BERGMAN (CHIEF FINANCIAL OFFICER)
(937) 641-3338
Entity
Organization

Contact information

Practice address
3333 W TECH RD, MIAMISBURG, OH 45342-0955
(937) 641-5725
(937) 350-3050
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0339776
OH
Enumeration date
05/08/2007
Last updated
02/12/2026
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