KETTERING HEALTH PRIMARY CARE, A SERVICE OF KETTERING HEALTH GREENE ME
NPI 1386281574
Clinic/Center - Rural Health in Jamestown, OH

Active since December 06, 2019CLIA 36D2150771 · Waiver
4790 COTTONVILLE RD, JAMESTOWN, OH 45335(937) 675-2870 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, Mar 28, 2023 and 4 more (7 updates tracked since 2019).

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 1386281574) is a healthcare organization registered as a rural health in Jamestown, Ohio and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Timothy Ko, Kettering Health Cfo, as its authorized official.

NPPES Registry Identity

NPI1386281574
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGREENE MEMORIAL HOSPITAL, INC.
Location Address4790 COTTONVILLE RDJamestown, OH 45335-1518
Mailing Address2110 Leiter RdMiamisburg, OH 45342-3598
Organization SubpartYes
Authorized OfficialTimothy KoKettering Health Cfo · (937) 395-8522
Enumeration DateDecember 6, 2019
Last NPPES UpdateNovember 25, 20247 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1386281574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4790 COTTONVILLE RD, Jamestown, OH 45335

Other Names 1

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

Other Identifiers 1

Medicaid0417728OH

Accepted 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 36D2150771

Kettering Health Primary Care, A Service Of Kettering Health Greene Memorial · Jamestown, OH
Active · expires Jul 2, 2028
CLIA Number36D2150771
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 3, 2026
Certificate Expiration DateJuly 2, 2028
Laboratory DirectorKevin L. Sharrett
Laboratory Phone(937) 675-2870
Laboratory LocationKettering Health Primary Care, A Service Of Kettering Health Greene Memorial4790 Cottonville Road, Jamestown, OH 45335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Adult Health)
4790 COTTONVILLE RD
JAMESTOWN, OH 45335
Family Medicine
4790 COTTONVILLE RD
JAMESTOWN, OH 45335
Family Medicine
4790 COTTONVILLE RD
JAMESTOWN, OH 45335
Nurse Practitioner (Family)
4790 COTTONVILLE RD
JAMESTOWN, OH 45335
Nurse Practitioner (Primary Care)
4790 COTTONVILLE RD
JAMESTOWN, OH 45335
Family Medicine
4790 COTTONVILLE RD
JAMESTOWN, OH 45335
Nurse Practitioner (Family)
4790 COTTONVILLE RD
JAMESTOWN, OH 45335

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 1386281574. It was assigned to this organization in the NPPES registry on December 6, 2019. 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 4790 Cottonville Rd, Jamestown, OH 45335. The listed phone number is (937) 675-2870.

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 36D2150771) is associated with this NPI, valid through July 2, 2028. 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.