Child And Adolescent Specialty Care Of Dayton Inc.

LBN: Child And Adolescent Specialty Care Of Dayton Inc.
Child And Adolescent Specialty Care Of Dayton Inc. is an health care organization with primary practice located at 1483 West Main Street , Tipp City OH 45371. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Child And Adolescent Specialty Care Of Dayton Inc. can be contacted via phone (937) 667-7711, or through Galemmo, Mary Ann via phone (937) 667-7711.

Contact Information

Primary practice address
1483 West Main Street Tipp City OH 45371
Fax: (937) 667-8067
Website:
Authorized official contact:
Name: Galemmo, Mary Ann Licensed Practical Nurse (LPN)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1881794113
LBN Legal business name Child And Adolescent Specialty Care Of Dayton Inc.
DBA Doing business as
Authorized official Galemmo, Mary Ann Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881794113 NPPES
Ohio MEDICAID 0382910

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