KETTERING MEDICAL CENTER NPI 1467090670

NPI Information

NPI: 1467090670
Provider Name: KETTERING MEDICAL CENTER

Doing Business As: KETTERING HEALTH NETWORK PREBLE HEALTH CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
450B WASHINGTON JACKSON RD STE 104
EATON, OH
ZIP 45320
Phone: (937) 456-8340
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KETTERING MEDICAL CENTER is a rural health clinic center in Eaton, OH. KETTERING MEDICAL CENTER NPI is 1467090670. The provider is registered as an organization entity type.
The provider Is Doing Business As Kettering Health Network Preble Health Center.

The provider's business location address is:

450B WASHINGTON JACKSON RD STE 104
EATON, OH
ZIP 45320-601
Phone: (937) 456-8340

The provider's authorized official is Dann Hotelling .
The authorized official title is Vice President Of Finance and has the following contact phone number (937) 762-1644.

The CLIA number assigned to this NPI record is 36D2157732 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2019 and was last updated on 4/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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