| Kettering Health Primary Care, A Service Of Soin Medical Center | |
|
1661 Rombach Ave Wilmington OH 45177-1965 | |
| (937) 366-1480 | |
| (937) 366-1489 |
| Full Name | Kettering Health Primary Care, A Service Of Soin Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1661 Rombach Ave, Wilmington, 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 |
|---|---|
| Kettering Health Primary Care, A Service Of Soin Medical Center 2110 Leiter Rd Miamisburg OH 45342-3598 Ph: (937) 298-3399 | Kettering Health Primary Care, A Service Of Soin Medical Center 1661 Rombach Ave Wilmington OH 45177-1965 Ph: (937) 366-1480 |
| NPI Number | 1912649724 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 08/02/2024 |
| Medicare PECOS PAC ID | 6608033915 |
|---|---|
| Medicare Enrollment ID | O20221004003710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912649724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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