| Patterson Park Health Center | |
|
1074 Patterson Rd Kettering OH 45420-1522 | |
| (937) 528-6330 | |
| Not Available |
| Full Name | Patterson Park Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1074 Patterson Rd, Kettering, Ohio |
| Authorized Official Name and Position | Gregory Hopkins (CEO) |
| Authorized Official Contact | 9375869733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patterson Park Health Center 1323 W 3rd St Dayton OH 45402-6714 Ph: (937) 586-9733 | Patterson Park Health Center 1074 Patterson Rd Kettering OH 45420-1522 Ph: (937) 528-6330 |
| NPI Number | 1235478884 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235478884 | NPI | - | NPPES |
| 0164031 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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