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Contact Information

FUNDAMENTAL HEALTH AND COMMUNITY DEVELOPMENT SERVICES
1840 W. 5TH ST
DAYTON, OH45417
 Phone: 937-469-8524
 Fax: 937-637-2035
 Website:
Indicates primary specialty

NPI Profile & details for FUNDAMENTAL HEALTH AND COMMUNITY DEVELOPMENT SERVICES

NPI Number 1881997260
LBN Legal business name FUNDAMENTAL HEALTH AND COMMUNITY DEVELOPMENT SERVICES
Authorized official MONDORA TINGLE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2010
Last updated 06/04/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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