Harold A McKinniss
Registered Nurse in Dayton, OH. Individual provider (NPI-1).
NPI number1508232133
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1508232133
- Entity type
- Individual (NPI-1)
- Name
- Harold A McKinniss
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2015
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN.518625 | OH | Yes |
| 167G00000X | Licensed Psychiatric Technician | PN128169MEDS | OH |
Practice location
601 S Edwin C Moses BlvdSamaritan Behaviroral Health, 4th Floor, Nw Bldg
Dayton, OH 45417-3424
Phone 937-734-8333
Mailing address
601 S Edwin C Moses BlvdSamaritan Behaviroral Health, 4th Floor, Nw Bldg
Dayton, OH 45417-3424
Phone 937-734-8333 · Fax 937-276-8269
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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