| Miami Valley Hospital - Psych | |
|
1 Wyoming St Dayton OH 45409-2722 | |
| (937) 208-8000 | |
| (937) 499-7813 |
| Full Name | Miami Valley Hospital - Psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Wyoming St, Dayton, Ohio |
| Authorized Official Name and Position | Scott A. Shelton (VP FINANCE) |
| Authorized Official Contact | 9372082530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Valley Hospital - Psych 1 Wyoming St Dayton OH 45409-2722 Ph: (937) 208-8000 | Miami Valley Hospital - Psych 1 Wyoming St Dayton OH 45409-2722 Ph: (937) 208-8000 |
| NPI Number | 1003986423 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 12/19/2016 |
| Medicare PECOS PAC ID | 3274440987 |
|---|---|
| Medicare Enrollment ID | O20071129000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003986423 | NPI | - | NPPES |
| 5935608 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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