Active NPI
Project Impact-Dayton
- Community Health Clinic/Center
- Dayton, OH
National Provider Identifier
1396704656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- PROJECT IMPACT-DAYTON
- Practice address
- 115 E 3Rd St
Fourth Floor
Dayton, OH 45402-5100 - Phone
- (937) 222-5683
- Fax
- (937) 222-4640
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe S. Riggins
- Title
- President
- Phone
- (937) 222-5683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | OH | Primary |
Addresses
Primary practice location
115 E 3Rd St
Fourth Floor
Dayton, OH 45402-5100
Mailing address
115 E 3Rd St
Fourth Floor
Dayton, OH 45402-5100
Phone (937) 222-5683
National Provider Directory
National Provider Directory- Tax ID family
- Project Cure Ohio
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Dayton, OH
- NPI 1174946776
Locations
115 E 3rd St
Fl 4
Dayton, OH 45402
Phone (937) 222-5683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396704656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 3RD ST",
"address_2": "FOURTH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454025100",
"telephone_number": "937-222-5683",
"fax_number": "937-222-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E 3RD ST",
"address_2": "FOURTH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454025100",
"telephone_number": "937-222-5683",
"fax_number": "937-222-4640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT IMPACT-DAYTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIGGINS",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-222-5683"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.