Organization
BEAVERCREEK MEDICAL CENTER
Active
Parent organization
BEAVERCREEK MEDICAL CENTER
Other names
Kettering Health Primary Care, A Service of Soin Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAVERCREEK MEDICAL CENTER
Authorized official
TIMOTHY Y KO (KETTERING HEALTH CFO)
(937) 395-8522
Entity
Organization
Contact information
Practice address
1500 ROMBACH AVE, WILMINGTON, OH 45177-2080
(937) 382-0918
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 298-3399
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
08/11/2025
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