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NPI Code Detail

MEDICARE: GREENE MEMORIAL HOSPITAL SERVICES, INC

MEDICARE: GREENE MEMORIAL HOSPITAL SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
22084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194001420
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENE MEMORIAL HOSPITAL SERVICES, INC
Provider Business Mailing Address
First Line : 2110 LEITER RD
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-3660
Country : US
Telephone Number : 937-384-4838
Fax Number : 937-384-4845
Provider Business Practice Location Address
First Line : 630 EATON AVE
Second Line : 2 WEST
City : HAMILTON
State : OH
Zip : 45013-2767
Country : US
Telephone Number : 513-867-4169
Fax Number : 513-867-7990
Authorized Official
Title or Position : DIRECTOR BUSINESS DEVELOPMENT
Name : DANIEL D HAIBACH
Credential :
Telephone Number : 937-558-3222
Provider Enumeration Date : 11/01/2011
Last Update Date : 11/01/2011

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Directions to “GREENE MEMORIAL HOSPITAL SERVICES, INC ” Practice Location

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