GREENE MEMORIAL HOSPITAL INC NPI 1073948774

NPI Information

GREENE MEMORIAL HOSPITAL INC is a rural health clinic center in Cedarville, OH. GREENE MEMORIAL HOSPITAL INC NPI is 1073948774. The provider is registered as an organization entity type.
The provider Is Doing Business As Kettering Health Primary Care, A Service Of Kettering Health Greene Me.

The provider's business location address is:

29 KYLE DR
CEDARVILLE, OH
ZIP 45314-580
Phone: (937) 766-2611
Fax: (937) 766-5558

The provider's authorized official is Timothy Ko .
The authorized official title is Network Cfo and has the following contact phone number (937) 395-8995.

The CLIA number assigned to this NPI record is 36D0897262 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 6/7/2023.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.