Kettering Health Miamisburg | |
4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615 | |
(937) 866-0551 | |
Not Available |
Full Name | Kettering Health Miamisburg |
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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 | 9375583223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kettering Health Miamisburg 2110 Leiter Rd Miamisburg OH 45342-3598 Ph: (937) 914-7601 | Kettering Health Miamisburg 4000 Miamisburg Centerville Rd Miamisburg OH 45342-7615 Ph: (937) 866-0551 |
NPI Number | 1316966518 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 08/02/2024 |
Certification Date | 08/02/2024 |
Medicare PECOS PAC ID | 2769415348 |
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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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