Corwin Nixon Health Center | |
2351 Stanley Ave Dayton OH 45404-1201 | |
(937) 228-0990 | |
(937) 228-6090 |
Full Name | Corwin Nixon Health Center |
---|---|
Speciality | Clinic/Center |
Location | 2351 Stanley Ave, Dayton, Ohio |
Authorized Official Name and Position | Gregory Hopkins (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9375869733 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Corwin Nixon Health Center 1323 W 3rd St Dayton OH 45402-6714 Ph: (937) 586-9733 | Corwin Nixon Health Center 2351 Stanley Ave Dayton OH 45404-1201 Ph: (937) 228-0990 |
NPI Number | 1902047707 |
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Provider Enumeration Date | 03/09/2009 |
Last Update Date | 12/21/2021 |
Medicare PECOS PAC ID | 7012094386 |
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Medicare Enrollment ID | O20090622000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902047707 | NPI | - | NPPES |
2933526 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 93.224 (Ohio) | Primary |
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