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Contact Information

DAYTON CHILDREN'S ORTHOPAEDIC CENTER FOR SPINAL & PEDIATRIC CARE, LLC
1 CHILDRENS PLZ
DAYTON, OH45404
 Phone: 937-641-3010
 Fax: 937-641-5003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAYTON CHILDREN'S ORTHOPAEDIC CENTER FOR SPINAL & PEDIATRIC CARE, LLC

NPI Number 1124021324
LBN Legal business name DAYTON CHILDREN'S ORTHOPAEDIC CENTER FOR SPINAL & PEDIATRIC CARE, LLC
Authorized official LISA COFFEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2005
Last updated 06/19/2018 - About 8 years ago
Identifiers
OH License # 050826
FL Medicaid 914700400
IN Medicaid 200251960A
KY Medicaid 65901415
OH Medicaid 0060237
OH Medicaid 2155448
KY Other 65901415 KENTUCKY PASSPORT
OH Other 2252233 AETNA
OH Other 2125835800 BUREAU OF WORKERS COMP
OH Other CG2790 PARAMOUNT
OH Other CG2790 RAILROAD MEDICARE
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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