Organization
ROCKING HORSE CHILDRENS HEALTH CENTER
Active
Other names
ROCKING HORSE COMMUNITY HEALTH CENTER, ROCKING HORSE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SHONDA WALLACE (CHIEF FINANCIAL OFFICER)
(937) 324-1111
Entity
Organization
Contact information
Practice address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 525-4543
Mailing address
651 S LIMESTONE ST, SPRINGFIELD, OH 45505-1965
(937) 324-1111
(937) 525-4541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187744
—
OH
Enumeration date
01/24/2007
Last updated
11/20/2024
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