Organization · Type 2 NPI

Kettering Medical Center

Rural Health Clinic/Center · Eaton, OH

NPI number 1467090670 Active

Practice location

450B Washington Jackson Rd Ste 104
Eaton, OH 45320-7601

Call (937) 456-8340 Map

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3598

Other practice locations

450B Washington Jackson Rd Ste 108, Eaton, OH 45320-7601 · (937) 456-8330
450B Washington Jackson Rd Ste 105, Eaton, OH 45320-7601 · (937) 456-8350

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Timothy Michael McCarty, C-PAMedical Physician Assistant Eaton, OH NPI 1790800357

NPI record

NPI: 1467090670
Entity type: Organization (Type 2)
Issued: Dec 18, 2019
Last updated: Apr 6, 2020
Status: Active
Subpart: Yes of Kettering Medical Center

Other names

<unavail>
Kettering Health Network Preble Health Center · doing business as

Authorized official

Dann Hotelling
Vice President of Finance
(937) 762-1644

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467090670

Kettering Medical Center's National Provider Identifier is 1467090670, issued on Dec 18, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Eaton, OH. The record was last updated on Apr 6, 2020.