CHARLES DREW HEALTH CENTER – NPI #1013197003
Clinic/Center

CHARLES DREW HEALTH CENTER is an AHC clinic located in DAYTON, OH. NPPES has assigned the NPI number 1013197003 to CHARLES DREW HEALTH CENTER on November 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHARLES DREW HEALTH CENTER” is a dba name, the actual legal business name for this organization is COMMUNITY HEALTH CENTERS OF GREATER DAYTON. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 4 years ago on Dec 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES DREW HEALTH CENTER below.

NPI Profile for
COMMUNITY HEALTH CENTERS OF GREATER DAYTON

NPI Number
1013197003
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Doing Business As (dba): CHARLES DREW HEALTH CENTER
Primary location
1323 W 3RD ST
DAYTON, OH 45402-6714
Phone: (937) 586-9733 Fax: (937) 461-9698
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY HOPKINS
CEO
Phone: (937) 586-9733
Updated
Certification Date
Dec 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHARLES DREW HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2986881
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 OH

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.