NPIMap

Organization Active NPI

Kettering Medical Center

  • General Acute Care Hospital
  • Centerville, OH
National Provider Identifier
1790233195
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
RN270267 Issued in OH
Legal business name
KETTERING MEDICAL CENTER
Practice address
524 Grants TRL
Centerville, OH 45459-3120
Phone
(937) 367-7317
NPI assigned
Sep 14, 2016
Last updated
Sep 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Jane Malavich
Title
HR Representative
Phone
(937) 395-8863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X RN270267 OH Primary

Addresses

Primary practice location

524 Grants TRL
Centerville, OH 45459-3120

Mailing address

524 Grants Trail
Centerville, OH 45459
Phone (937) 367-7317

National Provider Directory

National Provider Directory
Tax ID family
Kettering Memorial Hosp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1790233195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 GRANTS TRAIL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45459",
            "telephone_number": "937-367-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 GRANTS TRL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593120",
            "telephone_number": "937-367-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "MALAVICH",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "HR REPRESENTATIVE",
        "authorized_official_telephone_number": "937-395-8863"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "RN270267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.