Organization
BEAVERCREEK MEDICAL CENTER
Active
Other names
Soin Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KO (KETTERING HEALTH CFO)
(937) 395-8522
Entity
Organization
Contact information
Practice address
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431-1705
(937) 702-4000
Mailing address
PO BOX 933323, CLEVELAND, OH 44193-0037
(937) 298-3399
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066896
—
OH
Enumeration date
09/14/2011
Last updated
07/29/2025
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