Organization
GREENE MEMORIAL HOSPITAL INC
Active
Other names
Kettering Health Greene Memorial
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KO (KETTERING HEALTH CFO)
(937) 395-8522
Entity
Organization
Contact information
Practice address
1141 N MONROE DR, XENIA, OH 45385-1619
(937) 352-2000
(937) 352-3260
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 914-7601
(937) 522-7685
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0519648
—
OH
05
—
3409501
—
OH
Enumeration date
12/16/2005
Last updated
11/25/2024
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