Eastway Corporation | |
600 Wayne Ave Dayton OH 45410-1122 | |
(937) 496-2000 | |
(937) 463-2901 |
Full Name | Eastway Corporation |
---|---|
Speciality | Community/behavioral Health |
Location | 600 Wayne Ave, Dayton, Ohio |
Authorized Official Name and Position | Cybil Saum-johnson (CHIEF OPERATIONS OFFICER) |
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 | 1013254986 |
---|---|
Provider Enumeration Date | 01/11/2013 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013254986 | NPI | - | NPPES |
9159444 | Other | OH | MEDICARE |
0078525 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Ohio) | Primary |
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