COMMUNITY HEALTH CENTERS OF GREATER DAYTON (NPI# 1124633193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124633193 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTERS OF GREATER DAYTON |
| Other Organization Name | KINGS HIGHWAY DENTAL CENTER |
| Practice Address |
3805 Kings Hwy Rm C Dayton OH 45406-3577 |
| Mailing Address |
1323 W 3rd St Dayton OH 45402-6714 |
| Practice Telephone | 9375286830 |
| Mailing Telephone | 9375869733 |
| Mailing Fax Number | 9375869736 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | GREGORY HOPKINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9375869733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kings Highway Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1770822322 | Community Health Centers of Greater Dayton | Clinic/Center | 5 Alexanderville Rd, Miamisburg, OH 45342-3672 | 2013-02-01 |
| 1689913097 | Community Health Centers of Greater Dayton | Clinic/Center | 5 Alexandersville Rd, Miamisburg, OH 45342-3672 | 2013-02-05 |
| 1134468549 | Community Health Centers of Greater Dayton | Clinic/Center | 1074 Patterson Rd, Kettering, OH 45420-1522 | 2013-02-05 |
| 1235478884 | Community Health Centers of Greater Dayton | Clinic/Center | 1074 Patterson Rd, Kettering, OH 45420-1522 | 2013-02-01 |
| 1265721542 | Community Health Centers of Greater Dayton | Clinic/Center | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2011-04-07 |
| 1174812457 | Community Health Centers of Greater Dayton | Clinic/Center | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2011-04-07 |
| 1396986808 | Community Health Centers of Greater Dayton | Clinic/Center | 1323 W 3rd St, Dayton, OH 45402-6714 | 2009-03-12 |
| 1902047707 | Community Health Centers of Greater Dayton | Clinic/Center | 2351 Stanley Ave, Dayton, OH 45404-1201 | 2009-03-09 |
| 1689815482 | Community Health Centers of Greater Dayton | Clinic/Center | 2132 E 3rd St, Dayton, OH 45403-1977 | 2009-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTERS OF GREATER DAYTON | 1323 W 3rd St, Dayton, OH 45402-6714 |
| Street Address |
3805 KINGS HWY RM C |
| City | DAYTON |
| State | OH |
| Zip Code | 45406-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
| 1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
| 1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
| 1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
| 1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
| 1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
| 1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
| Find all providers in zip 45406 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722570 | Five Rivers Health Centers | Clinic/Center | 1923 W 3rd St, Dayton, OH 45417-2565 | 2019-10-24 |
| 1962840884 | Five Rivers Health Centers | Clinic/Center | 30 E Apple St Ste L204, Dayton, OH 45409 | 2013-06-13 |
| 1902169329 | Five Rivers Health Centers | Clinic/Center | 161 Wyoming St, Dayton, OH 45409-2741 | 2012-06-20 |
| 1366705980 | Five Rivers Health Centers | Clinic/Center | 1 Apple Street, Dayton, OH 45409 | 2012-06-19 |
| 1356553267 | Ocoee Regional Health Corporation | Clinic/Center | 8850 Rhea County Highway, Dayton, TN 37321-1036 | 2007-05-04 |
| 1871190728 | Five Rivers Health Centers | Clinic/Center | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-10-05 |
| 1548803752 | Five Rivers Health Centers | Clinic/Center | 3594 N Snyder Rd, Dayton, OH 45426-3835 | 2019-10-21 |
| 1497316855 | Butler County Community Health Consortium Inc | Clinic/Center | 300 Forest Ave, Dayton, OH 45405-4500 | 2019-06-26 |
| 1831663038 | Healthpoint Family Care, Inc. | Clinic/Center | 701 5th Ave, Dayton, KY 41074-1301 | 2019-01-22 |
| 1255846515 | Equitas Health, Inc | Clinic/Center | 1222 S Patterson Blvd Ste 230, Dayton, OH 45402-2643 | 2017-12-08 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.