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EASTWAY CORPORATION NPI 1447421771


NPI Information

NPI: 1447421771
Provider Name: EASTWAY CORPORATION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
600 WAYNE AVE
DAYTON, OH
ZIP 45410
Phone: (937) 496-2000
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EASTWAY CORPORATION is an adult mental health clinic center in Dayton, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. EASTWAY CORPORATION NPI is 1447421771. The provider is registered as an organization entity type.

The provider's business location address is:

600 WAYNE AVE
DAYTON, OH
ZIP 45410-122
Phone: (937) 496-2000
Fax: (937) 496-2185

The provider's authorized official is Bob Groskopf .
The authorized official title is Vice President & Cfo and has the following contact phone number (937) 496-2000.

The enumeration date for this NPI number is 3/14/2008 and was last updated on 3/14/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health0327OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10288997MEDICAIDOHIO

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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