Organization
GREENE MEMORIAL HOSPITAL SERVICES, INC
Active
Parent organization
GREENE MEMORIAL HOSPITAL SERVICES, INC
Other names
Advanced Women's Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE MEMORIAL HOSPITAL SERVICES, INC
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3208
Entity
Organization
Contact information
Practice address
3535 PENTAGON BLVD, SUITE 220, BEAVERCREEK, OH 45431-1705
(937) 429-7350
(937) 431-2623
Mailing address
10050 INNOVATION DR, SUITE 200, MIAMISBURG, OH 45342-4931
(937) 558-3208
(937) 558-3248
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059473
—
OH
Enumeration date
11/01/2011
Last updated
06/30/2014
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