Organization
GREENE MEMORIAL HOSPITAL SERVICES, INC
Active
Parent organization
GREENE MEMORIAL HOSPITAL SERVICES, INC
Other names
Clinton County Surgical Assoc LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE MEMORIAL HOSPITAL SERVICES, INC
Authorized official
DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
(937) 558-3222
Entity
Organization
Contact information
Practice address
630 W MAIN ST, SUITE 101, WILMINGTON, OH 45177-2170
(937) 383-4111
(937) 383-1201
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639630
—
OH
Enumeration date
11/22/2011
Last updated
11/22/2011
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