Organization
GREENE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE B GAULT (URGENT CARE DIRECTOR)
(937) 320-3500
Entity
Organization
Contact information
Practice address
3371 KEMP RD, BEAVERCREEK, OH 45431-2514
(937) 320-3500
Mailing address
LOCATOR 802, CINCINNATI, OH 45271-0001
(937) 320-3500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31080943602
OH WORKERS COMP
OH
05
—
3409501
—
OH
Enumeration date
07/09/2006
Last updated
08/22/2020
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