| Kettering Medical Center | |
|
4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615 | |
| (937) 866-0551 | |
| Not Available |
| Full Name | Kettering Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 4000 Miamisburg Centerville Rd, Miamisburg, Ohio |
| Authorized Official Name and Position | Timothy Ko (KETTERING HEALTH CFO) |
| Authorized Official Contact | 9373958522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Medical Center 2110 Leiter Rd Miamisburg OH 45342-3598 Ph: (937) 914-7601 | Kettering Medical Center 4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615 Ph: (937) 866-0551 |
| NPI Number | 1316966518 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/11/2025 |
| Medicare PECOS PAC ID | 2769415348 |
|---|---|
| Medicare Enrollment ID | O20080108000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316966518 | NPI | - | NPPES |
| 0414206 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Ohio) | Secondary |
| 282N00000X | General Acute Care Hospital | 1031 (Ohio) | Primary |
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