OrganizationActive
Phillip'N Elizabeth Clinical Staffing
NPI 1790397016 · Health Service Clinic/Center · Dayton, OH
Provider details
- NPI number
- 1790397016
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Grace Fongod, Ceo(614) 314-5416
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4134 Linden Ave Ste 306
Dayton, OH 45432-3035
Phone: (614) 314-5416
Fax: (614) 861-8842
Street-level locationGet directions
Mailing address
6455 E Livingston Ave
Reynoldsburg, OH 43068-3589
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.