Organization
MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY C
Active
Parent organization
MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY C
Other names
Public Health - Dayton & Montgomery County
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY COUNTY COURTHOUSE DBA PUBLIC HEALTH - DAYTON & MONTGOMERY C
Authorized official
MR. JAMES W. GROSS MPH (HEALTH COMMISSIONER)
(937) 225-4395
Entity
Organization
Contact information
Practice address
1323 W 3RD ST RM 509, 1ST CONTACT - JENNIFER BOYD, DAYTON, OH 45402-6714
(937) 225-5878
(937) 496-3078
Mailing address
117 SOUTH MAIN ST., ROOM 209, ATTN: DEBORAH PETERSON, DAYTON, OH 45422-1280
(937) 496-3344
(937) 496-3071
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
005826
OH
251K00000X
Public Health or Welfare Agency
2083P0901X
OH
251K00000X
Public Health or Welfare Agency
Primary
LH27095065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005826
AMERICAN DIABETES ASSOCIATION
—
Enumeration date
05/27/2010
Last updated
05/27/2010
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