| Eastway Corporation | |
|
600 Wayne Ave Dayton OH 45410-1122 | |
| (937) 496-2000 | |
| (937) 496-2185 |
| Full Name | Eastway Corporation |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 600 Wayne Ave, Dayton, Ohio |
| Authorized Official Name and Position | Bob Groskopf (VICE PRESIDENT & CFO) |
| Authorized Official Contact | 9374962000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastway Corporation 600 Wayne Ave Dayton OH 45410-1122 Ph: (937) 496-2000 | Eastway Corporation 600 Wayne Ave Dayton OH 45410-1122 Ph: (937) 496-2000 |
| NPI Number | 1447421771 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447421771 | NPI | - | NPPES |
| 0288997 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 0327 (Ohio) | Primary |
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