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KETTERING HEALTH PRIMARY CARE, A SERVICE OF KETTERING HEALTH GREENE ME
NPI 1073948774
Clinic/Center - Rural Health in Cedarville, OH

Active since September 12, 2013CLIA 36D0897262 · Waiver
29 KYLE DR, CEDARVILLE, OH 45314(937) 766-2611(937) 766-5558 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Jun 7, 2023, Feb 28, 2023 and 5 more (8 updates tracked since 2016).

About Kettering Health Primary Care, A Service Of Kettering Health Greene Me NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTERING HEALTH PRIMARY CARE, A SERVICE OF KETTERING HEALTH GREENE ME (NPI 1073948774) is a healthcare organization registered as a rural health in Cedarville, Ohio and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Timothy Ko, Network Cfo, as its authorized official.

NPPES Registry Identity

NPI1073948774
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGREENE MEMORIAL HOSPITAL INC
Location Address29 KYLE DRCedarville, OH 45314-9580
Mailing Address2110 Leiter RdMiamisburg, OH 45342-3598
Phone(937) 766-2611
Fax(937) 766-5558
Organization SubpartYes
Authorized OfficialTimothy KoNetwork Cfo · (937) 395-8522
Enumeration DateSeptember 12, 2013
Last NPPES UpdateNovember 25, 20248 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1073948774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
29 KYLE DR, Cedarville, OH 45314
Open in Google Maps ↗

Other Names 1

Doing Business AsKettering Health Primary Care, A Service Of Kettering Health Greene Me

Other Identifiers 1

Medicaid0146442OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0897262

Kettering Health Primary Care, A Service Of Soin Medical Center · Cedarville, OH
Active · expires Jul 11, 2027
CLIA Number36D0897262
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorDr. Denise Kennedy
Laboratory Phone(937) 766-2611
Laboratory LocationKettering Health Primary Care, A Service Of Soin Medical Center29 Kyle Drive, Cedarville, OH 45314
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH R ROTROFF NP
Nurse Practitioner (Family)
29 KYLE DR
CEDARVILLE, OH 45314
Greene County (937) 766-2611
SOUTHWEST OHIO FITNESS & NUTRITION
Dietitian, Registered
29 KYLE DR
CEDARVILLE, OH 45314
Greene County (937) 766-2611
JILL R LYKINS CNP
Nurse Practitioner (Family)
29 KYLE DR
CEDARVILLE, OH 45314
Greene County (937) 766-2611
GREENE MEMORIAL HOSPITAL SERVICES, INC
Family Medicine
29 KYLE DR
CEDARVILLE, OH 45314
Greene County (937) 766-2611
BEAVERCREEK MEDICAL CENTER
Clinic/Center (Rural Health)
29 KYLE DR
CEDARVILLE, OH 45314
Greene County (937) 766-2611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greene Memorial Hospital Inc's NPI number?

The NPI number for Greene Memorial Hospital Inc is 1073948774. It was assigned to this organization in the NPPES registry on September 12, 2013. The provider is doing business as Kettering Health Primary Care, A Service Of Kettering Health Greene Me.

Where is Greene Memorial Hospital Inc located?

Greene Memorial Hospital Inc is located at 29 Kyle Dr, Cedarville, OH 45314. The listed phone number is (937) 766-2611.

What is Greene Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Greene Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0897262) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greene Memorial Hospital Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Greene Memorial Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greene Memorial Hospital Inc was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.