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KETTERING SPORTS MEDICINE NPI 1346686144


NPI Information

NPI: 1346686144
Provider Name: KETTERING SPORTS MEDICINE
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 36D1094264

Address:
25 S TIPPECANOE DR
TIPP CITY, OH
ZIP 45371
Phone: (937) 669-5757
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KETTERING SPORTS MEDICINE is a general acute care hospital in Tipp City, OH. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. KETTERING SPORTS MEDICINE NPI is 1346686144. The provider is registered as an organization entity type.

The provider's business location address is:

25 S TIPPECANOE DR
TIPP CITY, OH
ZIP 45371-167
Phone: (937) 669-5757
Fax: (937) 669-1270

The provider's authorized official is Cathy Wells .
The authorized official title is Business Manager and has the following contact phone number (937) 395-3900.

The CLIA number assigned to this NPI record is 36D1094264 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalAT 001770OHIONo
2282N00000XGeneral Acute Care HospitalPT 009747OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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