Organization Active NPI

Dayton Osteopathic Hospital

Doing business as Jolsin Diabetes Center

  • Medical Specialty Clinic/Center
  • Dayton, OH
National Provider Identifier
1568633980
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DAYTON OSTEOPATHIC HOSPITAL
Doing business as
Jolsin Diabetes Center
Practice address
1989 Miamisburg Centerville Rd
Suite 304
Dayton, OH 45459-3859
Phone
(937) 401-7575
Fax
(937) 226-3200
NPI assigned
Mar 13, 2008
Organization subpart
Yes
Parent organization
DAYTON OSTEOPATHIC HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Daniel D Haibach
Title
Executive Director
Phone
(937) 384-4836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OH Primary

Addresses

Primary practice location

1989 Miamisburg Centerville Rd
Suite 304
Dayton, OH 45459-3859

Mailing address

PO Box 71-4828
Columbus, OH 43271-0001
Phone (937) 401-7575

Other names 1

  • Jolsin Diabetes Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Southview Hospital Pharmacy15 organizations share this tax ID, including this one
Part of
Southview Hospital Pharmacy

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1568633980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71-4828",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432710001",
            "telephone_number": "937-401-7575",
            "fax_number": "937-226-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD",
            "address_2": "SUITE 304",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593859",
            "telephone_number": "937-401-7575",
            "fax_number": "937-226-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON OSTEOPATHIC HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYTON OSTEOPATHIC HOSPITAL",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "HAIBACH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-384-4836"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jolsin Diabetes Center",
            "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 Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.