Organization Name: | GREENE MEMORIAL HOSPITAL |
NPI Number: | 1063778876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUANE A SHELDON (DIRECTOR OF REVENUE CYCLE) |
Mailing Address: | 3371 Kemp Rd Beavercreek |
State: | OH US |
Postal Code: | 454312514 |
Phone Number: | 9374584200 |
Fax Number: | 9374584209 |
NPI Enumeration Date: | 04/05/2012 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |