| Green And Guirnalda Family Health Center | |
|
3359 Kemp Rd Ste 100 Beavercreek OH 45431-2565 | |
| (937) 572-7252 | |
| (937) 458-4539 |
| Full Name | Green And Guirnalda Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3359 Kemp Rd Ste 100, Beavercreek, Ohio |
| Authorized Official Name and Position | Reginique Leonetta Green (PHYSICIAN) |
| Authorized Official Contact | 9375727252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green And Guirnalda Family Health Center 3359 Kemp Rd Ste 100 Beavercreek OH 45431-2565 Ph: (937) 572-7252 | Green And Guirnalda Family Health Center 3359 Kemp Rd Ste 100 Beavercreek OH 45431-2565 Ph: (937) 572-7252 |
| NPI Number | 1528221157 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528221157 | NPI | - | NPPES |
| 2257187 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35074642 (Ohio) | Primary |
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