NPIMap

Organization Active NPI

Community Health Centers of Greater Dayton

Doing business as Charles Drew Health Center

  • Federally Qualified Health Center (FQHC)
  • Dayton, OH
National Provider Identifier
1396986808
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
93.224 Issued in OH
Legal business name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Doing business as
Charles Drew Health Center
First Flight Health Centers
Practice address
1323 W 3Rd St
Dayton, OH 45402-6714
Phone
(937) 461-4336
Fax
(937) 461-9698
NPI assigned
Mar 12, 2009
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
Federally Qualified Health Center (FQHC) 261QF0400X 93.224 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
2925893MedicaidOH

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
O20090330000073 OH Part A Provider - Federally Qualified Health Center (FQHC) 7012094386 2 other NPIs on this enrollment
Practice locations: Dayton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396986808. Details of each certification follow.

Federally qualified health center certification: CCN 361941

Legal name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Doing business as
CHARLES DREW HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 6, 2009
Last certification
Apr 6, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 2007 in OH
Enrollment address
1323W 3Rd St
Dayton, OH 45402-6714

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 2

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.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Martin Foos Individual Corporate DirectorBoard Member Dec 1, 2021
Laurie Kemp Individual Corporate DirectorBoard Member Mar 1, 2024
Joseph Beach Individual Corporate DirectorBoard Member Feb 1, 2025
Gregory Hopkins Individual Corporate OfficerExecutive Director Mar 1, 2009
Corporate DirectorExecutive Director Mar 1, 2009
W-2 Managing EmployeeExecutive Director Mar 1, 2009
Operational/Managerial ControlExecutive Director Mar 1, 2009
Daniel O'Donnell Individual Corporate DirectorBoard Member May 1, 2024
John L Lyman Individual Corporate DirectorBoard Member Jul 1, 2021
Danielle Bradley Individual Corporate DirectorBoard Member Jul 1, 2023
Dawn William Individual Corporate DirectorBoard Member Mar 1, 2019
Xavier Johnson Individual Corporate DirectorBoard Member Mar 1, 2024
Katherine Joseph Individual Corporate DirectorBoard Member Aug 1, 2023
James L McGuire Individual Corporate DirectorBoard Member Mar 1, 2009
Elizabeth Brewer Individual Corporate DirectorBoard Member May 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1396986808",
    "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": "937-461-4336",
            "fax_number": "937-461-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTERS OF GREATER DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OH",
            "license": "93.224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2925893",
            "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

Verify at the official NPI Registry.