NPIMap

Organization Active NPI

The Fort Hamilton Hospital

Doing business as Kettering Health Hamilton

  • General Acute Care Hospital
  • Hamilton, OH
National Provider Identifier
1104867167
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1117 Issued in OH
Legal business name
THE FORT HAMILTON HOSPITAL
Doing business as
Kettering Health Hamilton
Practice address
630 Eaton Avenue
Hamilton, OH 45013-2767
Phone
(513) 867-2000
NPI assigned
Jun 9, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Timothy Ko
Title
Kettering Health Cfo
Phone
(937) 395-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1117 OH Primary

Addresses

Primary practice location

630 Eaton Avenue
Hamilton, OH 45013-2767

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3598

Other identifiers 17

IdentifierTypeStateIssuer
2875330MedicaidOH
304642370MedicaidMI
XHSP42617MedicaidCA
000472337XMedicaidGA
01884633MedicaidNY
3600132MedicaidNC
4181204MedicaidNJ
431930200MedicaidME
01540145MedicaidKY
016142002MedicaidLA
9126813 00MedicaidFL
372243MedicaidAZ
XHSP32617MedicaidCA
016142002MedicaidMO
404642389MedicaidMI
154913105MedicaidAR
100275840AMedicaidIN

Other names 1

  • Kettering Health Hamilton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000299 OH Part A Provider - Hospital 8325039332 Practice locations: Fairfield Township, OH; Hamilton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104867167. Details of each certification follow.

Hospital certification: CCN 360132

Legal name
THE FORT HAMILTON HOSPITAL
Doing business as
KETTERING HEALTH HAMILTON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 12, 2017
Beds
220 (173 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 17, 1925 in OH
Enrollment address
630 Eaton Ave
Hamilton, OH 45013-2767
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Fort Hamilton Hughes Memorial HospitalCCN 360132 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2126637Kettering Health Hamilton - Waived630 Eaton Avenue, 1St FL E, Hamilton, OH 45013Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ft Hamilton Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 Cereal Ave
Ste 100
Hamilton, OH 45013
Phone (513) 867-2057

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin L Sharrett Individual Corporate DirectorBoard Member Jan 31, 2024
Michael Gentry Individual Corporate OfficerKettering Health Ceo Jul 3, 2023
Corporate DirectorBoard Member Jan 31, 2024
Marcellus Robinson Individual Corporate OfficerBoard Chair Apr 30, 2024
Corporate Director Apr 30, 2024
Norman Spence Individual W-2 Managing EmployeeKH Hamilton President Oct 8, 2025
Keisha Stubbs-Bone Individual Corporate DirectorBoard Member Jan 31, 2024
Vanessa Oliver-Ward Individual Corporate DirectorBoard Member Feb 5, 2025
Tamara L Thomas Individual Corporate DirectorBoard Member Jan 31, 2024
Robert Weigel Individual Corporate DirectorBoard Member Jan 31, 2024
Adele Riley Individual Corporate DirectorBoard Member Jan 31, 2024
Leslie Neff Individual Corporate DirectorBoard Member Jan 31, 2024
John Sackett Individual Corporate DirectorBoard Member Nov 11, 2024
Troy Alan Tyner Individual Corporate DirectorBoard Member Jan 31, 2024
Harvey Sung Ha Hahn Individual Corporate DirectorBoard Member Feb 5, 2025
Timothy Y Ko Individual Corporate OfficerKettering Health Cfo Nov 18, 2022
Andrew Sutton Individual Corporate DirectorBoard Member Feb 5, 2025
Kettering Adventist Healthcare Organization, Miamisburg, OH Corporation, Non-profit Operational/Managerial Control Jul 31, 2009 100%
Other Jan 31, 2024
Cherish J Prutzman Individual Corporate DirectorBoard Member Jan 31, 2024
Robert Patterson Individual Corporate DirectorBoard Member Jan 31, 2024
David Martin Individual Corporate DirectorBoard Member May 8, 2025
Peter N Landless Individual Corporate DirectorBoard Member Feb 5, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

Affiliated clinicians 289

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 289

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1104867167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EATON AVENUE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132767",
            "telephone_number": "513-867-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FORT HAMILTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "KETTERING HEALTH CFO",
        "authorized_official_telephone_number": "937-395-8522"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [
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        },
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        },
        {
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        },
        {
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        },
        {
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        },
        {
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            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4181204",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431930200",
            "state": "ME"
        },
        {
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        },
        {
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            "identifier": "016142002",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9126813 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372243",
            "state": "AZ"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "XHSP32617",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "016142002",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404642389",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154913105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275840A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettering Health Hamilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.