| Organization Name: | GREENE MEMORIAL HOSPITAL SERVICES, LLC |
| NPI Number: | 1033486857 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT) |
| Mailing Address: | 4441 Far Hills Ave Kettering |
| State: | OH US |
| Postal Code: | 454292405 |
| Phone Number: | 9372987351 |
| Fax Number: | 9372989458 |
| NPI Enumeration Date: | 11/22/2011 |
| NPI Last Update Date: | 11/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |