| Greene Memorial Hospital Inc | |
|
29 Kyle Dr Cedarville OH 45314-9580 | |
| (937) 766-2611 | |
| (937) 766-5558 |
| Full Name | Greene Memorial Hospital Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 29 Kyle Dr, Cedarville, Ohio |
| Authorized Official Name and Position | Timothy Ko (NETWORK CFO) |
| Authorized Official Contact | 9373958522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Memorial Hospital Inc 2110 Leiter Rd Miamisburg OH 45342-3598 Ph: () - | Greene Memorial Hospital Inc 29 Kyle Dr Cedarville OH 45314-9580 Ph: (937) 766-2611 |
| NPI Number | 1073948774 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 3971406539 |
|---|---|
| Medicare Enrollment ID | O20150331000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073948774 | NPI | - | NPPES |
| 0146442 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cedarville University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 N Main St, Cedarville, OH 45314 Phone: 937-766-7862 Fax: 937-766-7865 | |
Greene Memorial Hospital Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Kyle Dr, Cedarville, OH 45314 Phone: 937-766-2611 Fax: 937-766-5558 | |
Beavercreek Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Kyle Dr, Cedarville, OH 45314 Phone: 937-766-2611 |