Organization
MCKINLEY HALL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL GROEBER (DIRECTOR OF FINANCE & IT)
(937) 328-5300
Entity
Organization
Contact information
Practice address
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505
(937) 328-5300
(937) 322-4900
Mailing address
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505-2607
(937) 328-5300
(937) 322-4900
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1039, 2578
—
324500000X
Substance Abuse Rehabilitation Facility
3271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103073
—
OH
01
—
1039
MACSIS UPI
OH
01
—
2578
MACSIS UPI
OH
05
—
2901024
—
OH
01
—
3271
MACSIS UPI
OH
Enumeration date
05/22/2006
Last updated
05/15/2026
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