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DSH360133P Kettering Health Dayton (Active)
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Main Details
Name
Kettering Health Dayton
Subdivision Name
Grandview Medical Ctr Infusion SRVS 90.16 / KHDO - KHWT Infusion 324440
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360133P
Medicare Provider Number
360133
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/11/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Kettering Health
Harmat Beebe, Vice President Finance Multi-Hospital Campus
(937) 723-3414
Primary Contact
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Addresses
Street Address
1989 MIAMISBURG CENTERVILLE RD 101
DAYTON, OH 45459-3859
Billing Address
Kettering Health A/P
1 Prestige Place
Miamisburg, OH 45342
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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