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NPI Code Detail

MEDICARE: MCKINLEY HALL, INC.

MEDICARE: MCKINLEY HALL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10699OTHEROHOHIO DEPARTMENT OF MENTAL HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558602243
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCKINLEY HALL, INC.
Provider Business Mailing Address
First Line : 2624 LEXINGTON AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-2620
Country : US
Telephone Number : 937-328-5300
Fax Number : 937-322-4900
Provider Business Practice Location Address
First Line : 2624 LEXINGTON AVE
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45505-2620
Country : US
Telephone Number : 937-328-5300
Fax Number : 937-322-4900
Authorized Official
Title or Position : DIRECTOR OF FINANCE & IT
Name : MS. CAROL GROEBER
Credential :
Telephone Number : 937-328-5300
Provider Enumeration Date : 03/06/2013
Last Update Date : 06/23/2021

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Directions to “MCKINLEY HALL, INC. ” Practice Location

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