Organization
BEAVERCREEK MEDICAL CENTER
Active
Other names
Kettering Health Primary Care, A Service of Soin Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (KETTERING HEALTH CFO)
(937) 395-8522
Entity
Organization
Contact information
Practice address
29 KYLE DR, CEDARVILLE, OH 45314-9580
(937) 766-2611
Mailing address
PO BOX 933323, CLEVELAND, OH 44193-0037
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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