Organization · Type 2 NPI

Beavercreek Medical Center

Rural Health Clinic/Center · Wilmington, OH

NPI number 1558093286 Active

Practice location

1500 Rombach Ave
Wilmington, OH 45177-2080

Call (937) 382-0918 Map

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3598

Specialties and licenses

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

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

6 other providers at this address

Kettering Health WilmingtonGeneral Acute Care Hospital Wilmington, OH NPI 1295538163
Aleisha Willis, NP-CFamily Nurse Practitioner Wilmington, OH NPI 1801341789
Elizabeth Flynn Adams, MSN, APRN, FNP-CFamily Nurse Practitioner Wilmington, OH NPI 1912434267
Emily Nicole Artz Pearson, DOFamily Medicine Physician Wilmington, OH NPI 1851088199
Holly L. Lamb, CNPFamily Nurse Practitioner Wilmington, OH NPI 1811606684
Jesse Holt Pohly, PA-CPhysician Assistant Wilmington, OH NPI 1598030934

Other rural health clinic/center providers in Wilmington

Beavercreek Medical CenterRural Health Clinic/Center Wilmington, OH NPI 1912649724

See all in Wilmington →

NPI record

NPI: 1558093286
Entity type: Organization (Type 2)
Issued: Jun 30, 2022
Last updated: Aug 11, 2025
Status: Active
Subpart: Yes of Beavercreek Medical Center

Other names

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Kettering Health Primary Care, A Service of Soin Medical Center · doing business as

Authorized official

Timothy Y Ko
Kettering Health CFO
(937) 395-8522

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 1558093286

Beavercreek Medical Center's National Provider Identifier is 1558093286, issued on Jun 30, 2022. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wilmington, OH. The record was last updated on Aug 11, 2025.