Beavercreek Medical Center
Clinic/Center, Rural Health in Wilmington, OH. Organization (NPI-2).
NPI number1558093286
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1558093286
- Entity type
- Organization (NPI-2)
- Legal business name
- Beavercreek Medical Center
- Organization subpart
- Yes
- Enumeration date
- Jun 30, 2022
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Kettering Health Primary Care, A Service Of Soin Medical Center (Doing Business As)
Practice location
1500 Rombach AveWilmington, OH 45177-2080
Phone 937-382-0918
Mailing address
2110 Leiter RdMiamisburg, OH 45342-3598
Phone 937-298-3399
Authorized official
Timothy Y Ko
Kettering Health Cfo
9373958522
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