| Access Ohio | |
|
2611 Wayne Ave Bldg 64 Dayton OH 45420-1833 | |
| (614) 256-7811 | |
| Not Available |
| Full Name | Access Ohio |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2611 Wayne Ave Bldg 64, Dayton, Ohio |
| Authorized Official Name and Position | John Johnson (CEO) |
| Authorized Official Contact | 9372280579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Ohio 6400 E Broad St Ste 400 Columbus OH 43213-2979 Ph: (614) 655-3345 | Access Ohio 2611 Wayne Ave Bldg 64 Dayton OH 45420-1833 Ph: (614) 256-7811 |
| NPI Number | 1194179150 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 07/20/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194179150 | NPI | - | NPPES |
| 2892919 | Medicaid | OH | |
| 0166703 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 13909 (Ohio) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 13908 (Ohio) | Primary |
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