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BEAVERCREEK MEDICAL CENTER
NPI 1912649724
Clinic/Center - Rural Health in Wilmington, OH

Active since April 12, 2022
1661 ROMBACH AVE, WILMINGTON, OH 45177(937) 366-1480(937) 366-1489 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Aug 2, 2024, Apr 12, 2022 (3 updates tracked since 2022).

About Beavercreek Medical Center NPPES

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

BEAVERCREEK MEDICAL CENTER (NPI 1912649724), doing business as Kettering Health Primary Care, A Service Of Soin Medical Center, is a healthcare organization registered as a rural health in Wilmington, Ohio and active in the NPI registry since April 2022. The organization lists Timothy Ko, Kettering Health Cfo, as its authorized official.

NPPES Registry Identity

NPI1912649724
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBEAVERCREEK MEDICAL CENTER
Location Address1661 ROMBACH AVEWilmington, OH 45177-1965
Mailing Address2110 Leiter RdMiamisburg, OH 45342-3598 · (937) 298-3399
Phone(937) 366-1480
Fax(937) 366-1489
Organization SubpartYes
Authorized OfficialTimothy KoKettering Health Cfo · (937) 395-8522
Enumeration DateApril 12, 2022
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1912649724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1661 ROMBACH AVE, Wilmington, OH 45177
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Other Names 1

Doing Business AsKettering Health Primary Care, A Service Of Soin Medical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.Insurance ›

Other Providers at the Same Location NPPES 3

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

INTELLIGENT IMAGING RESOURCES LLC
Radiology (Diagnostic Radiology)
1661 ROMBACH AVE
WILMINGTON, OH 45177
Clinton County (937) 382-6736
WHITNEY HARNER CNP
Nurse Practitioner (Family)
1661 ROMBACH AVE
WILMINGTON, OH 45177
Clinton County (937) 366-1480
MS. MINDY SUE KAHLHAMER NP
Nurse Practitioner (Family)
1661 ROMBACH AVE
WILMINGTON, OH 45177
Clinton County (937) 366-1480

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 Beavercreek Medical Center's NPI number?

The NPI number for Beavercreek Medical Center is 1912649724. It was assigned to this organization in the NPPES registry on April 12, 2022. The provider is doing business as Kettering Health Primary Care, A service of Soin Medical Center.

Where is Beavercreek Medical Center located?

Beavercreek Medical Center is located at 1661 Rombach Ave, Wilmington, OH 45177. The listed phone number is (937) 366-1480.

What is Beavercreek Medical Center's specialty?

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

What insurance does Beavercreek Medical Center accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Beavercreek Medical Center 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 Beavercreek Medical Center was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.