Greene Memorial Hospital Services Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREENE MEMORIAL HOSPITAL SERVICES INC.

Practice address

717 W Xenia Dr
Fairborn, OH 45324-4930

Phone

(937) 372-1089

Fax

(937) 352-0015

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Howard Drenth

Title

Director

Phone

(937) 352-2788

Specialties & licenses 1

Addresses

Other names 1

• GMHS-Desai Other name

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619020419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W XENIA DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W XENIA DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244930",
            "telephone_number": "937-372-1089",
            "fax_number": "937-352-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE MEMORIAL HOSPITAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRENTH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-352-2788"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GMHS-Desai",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cara Naomi Graham
• Anesha Gray
• Elizabeth M. Gray
• Desah Renae Nekoya Green
• Jessica Green
• Greene Memorial Hospital Services, Inc
• Greene Memorial Hospital Services, Inc
• Jace Greer
• Brea Gregory
• Jessica Grieco

• Internal Medicine Physician in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.