NPIMap

Organization Active NPI

Eastway Corporation

  • Adult Mental Health Clinic/Center
  • Dayton, OH
National Provider Identifier
1447421771
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0327 Issued in OH
Legal business name
EASTWAY CORPORATION
Practice address
600 Wayne Ave
Dayton, OH 45410-1122
Phone
(937) 496-2000
Fax
(937) 496-2185
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Bob Groskopf
Title
Vice President & Cfo
Phone
(937) 496-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0327 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 1

IdentifierTypeStateIssuer
0288997MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Eastway Corporation4 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

600 Wayne Ave
Dayton, OH 45410
Phone (937) 396-2525

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1447421771",
    "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": "937-496-2185"
        },
        {
            "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": "937-496-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWAY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "GROSKOPF",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "937-496-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "0327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0288997",
            "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 Mar 14, 2008; 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.