Organization
GREENE MEMORIAL HOSPITAL INC
Active
Parent organization
GREENE MEMORIAL HOSPITAL INC
Other names
Kettering Health Primary Care, A Service of Kettering Health Greene Me
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE MEMORIAL HOSPITAL INC
Authorized official
TIMOTHY KO (NETWORK CFO)
(937) 395-8522
Entity
Organization
Contact information
Practice address
29 KYLE DR, CEDARVILLE, OH 45314-9580
(937) 766-2611
(937) 766-5558
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146442
—
OH
Enumeration date
09/12/2013
Last updated
11/25/2024
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