Organization
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Active
Other names
Corwin Nixon 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
2351 STANLEY AVE, DAYTON, OH 45404-1201
(937) 228-0990
(937) 228-6090
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
—
2933526
—
OH
Enumeration date
03/09/2009
Last updated
12/21/2021
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