| Greene Memorial Hospital, Inc. | |
|
4790 Cottonville Rd Jamestown OH 45335-1518 | |
| (937) 675-2870 | |
| Not Available |
| Full Name | Greene Memorial Hospital, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4790 Cottonville Rd, Jamestown, 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 |
|---|---|
| Greene Memorial Hospital, Inc. 2110 Leiter Rd Miamisburg OH 45342-3598 Ph: () - | Greene Memorial Hospital, Inc. 4790 Cottonville Rd Jamestown OH 45335-1518 Ph: (937) 675-2870 |
| NPI Number | 1386281574 |
|---|---|
| Provider Enumeration Date | 12/06/2019 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 3971406539 |
|---|---|
| Medicare Enrollment ID | O20200520000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386281574 | NPI | - | NPPES |
| 0417728 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Digestive Specialists, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Cottonville Rd, Jamestown, OH 45335 Phone: 937-293-4424 Fax: 937-395-3682 | |
Mvhe Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 |