# GREENE MEMORIAL HOSPITAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREENE MEMORIAL HOSPITAL SERVICES, INC
- **Other names:** Advanced Women's Healthcare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083990394
- **Legal business name:** GREENE MEMORIAL HOSPITAL SERVICES, INC
- **Authorized official:** TIMOTHY Y KO (CFO)
- **Authorized official phone:** (937) 558-3208

## Contact information

- **Practice address:** 3535 PENTAGON BLVD, SUITE 220, BEAVERCREEK, OH 45431-1705
- **Practice address phone:** (937) 429-7350
- **Practice address fax:** (937) 431-2623
- **Mailing address:** 10050 INNOVATION DR, SUITE 200, MIAMISBURG, OH 45342-4931
- **Mailing address phone:** (937) 558-3208
- **Mailing address fax:** (937) 558-3248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 06/30/2014