Organization
GREENE MEMORIAL HOSPITAL SERVICES, INC.
Active
Parent organization
GREENE MEMORIAL HOSPITAL SERVICES, INC.
Other names
Midwest Orthopedics & Sports Medicine
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
840 NW WASHINGTON BLVD, SUITE A, HAMILTON, OH 45013-6384
(513) 867-4165
(513) 867-4168
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213E00000X
Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639630
—
OH
Enumeration date
11/22/2011
Last updated
09/12/2016
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