Organization
GREENE MEMORIAL HOSPITAL SERVICES, INC
Active
Parent organization
GREENE MEMORIAL HOSPITAL SERVICES, INC
Other names
Kettering Cardiovascular Consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE MEMORIAL HOSPITAL SERVICES, INC
Authorized official
DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
(937) 558-3222
Entity
Organization
Contact information
Practice address
1010 CEREAL AVE, SUITE 207, HAMILTON, OH 45013-2784
(513) 867-3331
(513) 867-2667
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2639630
—
OH
Enumeration date
11/01/2011
Last updated
11/12/2012
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