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Greene Memorial Hospital Services, INC.

Podiatrist in Beavercreek, OH. Organization (NPI-2).

NPI number1033413935
StatusActive
Last updated in NPPESSep 12, 2016

Details

NPI
1033413935
Entity type
Organization (NPI-2)
Legal business name
Greene Memorial Hospital Services, INC.
Organization subpart
No
Enumeration date
Jan 6, 2011
Last updated
Sep 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Far Hills Medicine & Podiatry (Doing Business As)

Practice location

2510 Commons Blvd
Suite 160
Beavercreek, OH 45431-3820

Phone 937-298-7351

Mailing address

1 Prestige Pl
Suite 550
Miamisburg, OH 45342-3794

Phone 937-762-1306 · Fax 937-522-7626

Authorized official

Timothy Y Ko
Cfo
9375583208

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