Congress Park Family Practice

LBN: Greene Memorial Hospital Services, Llc
Congress Park Family Practice is an health care organization with primary practice located at 979 Congress Park Dr , Centerville OH 45459-4009. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Greene Memorial Hospital Services, Llc can be contacted via phone (937) 435-9013, or through Haibach, Daniel D via phone (937) 558-3222.

Contact Information

Primary practice address
979 Congress Park Dr Centerville OH 45459-4009
Phone: (937) 435-9013
Fax: (937) 435-1458
Website:
Map and Directions
Authorized official contact:
Name: Haibach, Daniel D
Phone: (937) 558-3222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1710263041
LBN Legal business name Greene Memorial Hospital Services, Llc
DBA Doing business as Congress Park Family Practice
Authorized official Haibach, Daniel D
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 1st, 2011
Last updated Nov 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710263041 NPPES
Ohio MEDICAID 2639630

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