| Grandview Medical Center - Psych | |
|
405 W Grand Ave Dayton OH 45405-7538 | |
| (937) 723-3200 | |
| Not Available |
| Full Name | Grandview Medical Center - Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 405 W Grand Ave, Dayton, Ohio |
| Authorized Official Name and Position | Dann Hotelling (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 9377621644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandview Medical Center - Psych 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 298-3399 | Grandview Medical Center - Psych 405 W Grand Ave Dayton OH 45405-7538 Ph: (937) 723-3200 |
| NPI Number | 1437176054 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/06/2020 |
| Certification Date | 04/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437176054 | NPI | - | NPPES |
| 3354525 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 1246 (Ohio) | Primary |
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