Organization
GREENE MEMORIAL HOSPITAL SERVICES, INC.
Active
Organization
GREENE MEMORIAL HOSPITAL SERVICES, INC.
Active
Other names
Midwest Orthopedics - YMCA
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3208
Entity
Organization
Contact information
Practice address
6645 MORRIS RD, HAMILTON, OH 45011-5417
(513) 261-6540
(513) 261-6549
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/14/2012
Last updated
09/12/2016
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