MCKINLEY HALL INC. NPI 1013961945

NPI Information

NPI: 1013961945
Provider Name: MCKINLEY HALL, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D0954934

Address:
2624 LEXINGTON AVE
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-5300
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MCKINLEY HALL, INC. is a rehabilitation and substance use disorder clinic center in Springfield, OH. MCKINLEY HALL, INC. NPI is 1013961945. The provider is registered as an organization entity type.

The provider's business location address is:

2624 LEXINGTON AVE
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-5300
Fax: (937) 322-4900

The provider's authorized official is Carol Groeber .
The authorized official title is Director Of Finance & It and has the following contact phone number (937) 328-5300.

The CLIA number assigned to this NPI record is 36D0954934 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 6/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1039, 2578		Yes
2	324500000X	Substance Abuse Rehabilitation Facility		3271	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1039	OTHER	OHIO	MACSIS UPI
2	3271	OTHER	OHIO	MACSIS UPI
3	2901024	MEDICAID	OHIO
4	0103073	MEDICAID	OHIO
5	2578	OTHER	OHIO	MACSIS UPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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