Organization · Type 2 NPI

Beavercreek Medical Center

Rural Health Clinic/Center · Wilmington, OH

NPI number 1912649724 Active

Practice location

1661 Rombach Ave
Wilmington, OH 45177-1965

Call (937) 366-1480 Map

Fax (937) 366-1489

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...

3 other providers at this address

Intelligent Imaging Resources LLCDiagnostic Radiology Physician Wilmington, OH NPI 1194778217
Mindy Sue Kahlhamer, NPFamily Nurse Practitioner Wilmington, OH NPI 1578296364
Whitney Harner, CNPFamily Nurse Practitioner Wilmington, OH NPI 1255620993

Other rural health clinic/center providers in Wilmington

Beavercreek Medical CenterRural Health Clinic/Center Wilmington, OH NPI 1558093286

See all in Wilmington →

NPI record

NPI: 1912649724
Entity type: Organization (Type 2)
Issued: Apr 12, 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 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 1912649724

Beavercreek Medical Center's National Provider Identifier is 1912649724, issued on Apr 12, 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.