NPIMap

Organization Active NPI

Eastway Corporation

  • Community/Behavioral Health Agency
  • Dayton, OH
National Provider Identifier
1013254986
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTWAY CORPORATION
Practice address
600 Wayne Ave
Dayton, OH 45410-1122
Phone
(937) 496-2000
Fax
(937) 463-2901
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cybil Saum-Johnson
Title
Chief Operations Officer
Phone
(937) 496-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OH Primary

Addresses

Primary practice location

600 Wayne Ave
Dayton, OH 45410-1122

Mailing address

600 Wayne Ave
Dayton, OH 45410-1122
Phone (937) 496-2000

Other identifiers 2

IdentifierTypeStateIssuer
9159444OtherOHMEDICARE
0078525MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Eastway Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 Troy St
Dayton, OH 45404
Phone (937) 463-2955

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/eastway/r4/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013254986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101122",
            "telephone_number": "937-496-2000",
            "fax_number": "937-463-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454101122",
            "telephone_number": "937-496-2000",
            "fax_number": "937-463-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SAUM-JOHNSON",
        "authorized_official_first_name": "CYBIL",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "937-496-2000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9159444",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.