| Victor Cassano Health Center | |
|
165 S Edwin C Moses Blvd Dayton OH 45402-8472 | |
| (937) 972-0303 | |
| (937) 262-7143 |
| Full Name | Victor Cassano Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 165 S Edwin C Moses Blvd, Dayton, Ohio |
| Authorized Official Name and Position | Gregory Hopkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9375869733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Cassano Health Center 1323 W 3rd St Dayton OH 45402-6714 Ph: (937) 586-9733 | Victor Cassano Health Center 165 S Edwin C Moses Blvd Dayton OH 45402-8472 Ph: (937) 972-0303 |
| NPI Number | 1265721542 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265721542 | NPI | - | NPPES |
| 3152510 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 93.224 (Ohio) | Primary |
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