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RRC360239-00 Kettering Health Miamisburg (Active)
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Main Details
Name
Kettering Health Miamisburg
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC360239-00
Medicare Provider Number
360239
Additional Details
Current Program Status
Active
Registration Date
1/5/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/6/2021
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Kettering Health Fort Hamilton Hospital
Steven Chavez, Kettering Health VP Finance and Operations
(937) 762-1644
Primary Contact
Kettering Health Network:Grandview/Kettering/Ft Hamilton/Sycamore/Soin
Linda McCall, Pharmacy Director
(937) 458-4946
Addresses
Street Address
4000 Miamisburg-Centerville Rd
MIAMISBURG, OH 45342
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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