| Onefifteen | |
|
257 Hopeland St Bldg A Dayton OH 45417-3420 | |
| (937) 535-7115 | |
| Not Available |
| Full Name | Onefifteen |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 257 Hopeland St Bldg A, Dayton, Ohio |
| Authorized Official Name and Position | Catherine Mccarver (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9378843712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onefifteen 257 Hopeland St Bldg A Dayton OH 45417-3420 | Onefifteen 257 Hopeland St Bldg A Dayton OH 45417-3420 Ph: (937) 535-7115 |
| NPI Number | 1831961671 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 6204340763 |
|---|---|
| Medicare Enrollment ID | O20250708000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831961671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | () | Primary |
| Provider Name | Natalie Lester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770621484 PECOS PAC ID: 6800089285 Enrollment ID: I20120822000703 |
| Provider Name | Meaghan Frances Ebetino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524448 PECOS PAC ID: 5496983066 Enrollment ID: I20150908003106 |
| Provider Name | Angela Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962911412 PECOS PAC ID: 2466711809 Enrollment ID: I20180110003566 |
| Provider Name | Kimberly W Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013533553 PECOS PAC ID: 4587078084 Enrollment ID: I20210125001035 |
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