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Organization
KETTERING MEDICAL CENTER
Active
Organization
KETTERING MEDICAL CENTER
Active
Parent organization
KETTERING MEDICAL CENTER
Other names
Kettering Network HomeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETTERING MEDICAL CENTER
Authorized official
TIMOTHY KO (KETTERING HEALTH CFO)
(937) 395-8522
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-4331
Mailing address
1251 E DOROTHY LN, KETTERING, OH 45419-2106
(937) 298-1111
(937) 298-7210
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1017 (DEPT OF HEALTH
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573044
—
OH
Enumeration date
08/25/2006
Last updated
09/24/2024
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