Organization Active NPI

Community Health Centers of Greater Dayton

  • Primary Care Clinic/Center
  • Dayton, OH
National Provider Identifier
1013197003
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Practice address
1323 W 3Rd St
Dayton, OH 45402-6714
Phone
(937) 586-9733
Fax
(937) 461-9698
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dana Ballou
Title
Senior Billing Specialist
Phone
(937) 586-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X OH Primary

Addresses

Primary practice location

1323 W 3Rd St
Dayton, OH 45402-6714

Mailing address

PO Box 932293
Cleveland, OH 44193-2293
Phone (937) 586-9733

Other identifiers 1

IdentifierTypeStateIssuer
2986881MedicaidOH

Other names 2

  • Charles Drew Health Center Doing business as
  • First Flight Health Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000531 OH Part B Supplier - Clinic/Group Practice 7012094386 Receives reassigned benefits from 19 practitioners
6 other NPIs on this enrollment
Practice locations: Kettering, OH; Huber Heights, OH; Dayton, OH

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Community Health Centers of Greater Dayton12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 247-0304

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1013197003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932293",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441932293",
            "telephone_number": "937-586-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454026714",
            "telephone_number": "937-586-9733",
            "fax_number": "937-461-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF GREATER DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "BALLOU",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "SENIOR BILLING SPECIALIST",
        "authorized_official_telephone_number": "937-586-9733"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2986881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Drew Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Flight Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.