Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Greene Memorial Hospital Services, Inc

Organization Family Medicine Physician · NPI 1063798395

Greene Memorial Hospital Services, Inc provides Family Medicine Physician services in Fairborn, Ohio. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1145 Channingway Dr
Fairborn, OH 45324-9244 Not confirmed with CMS for 14 years — call before visiting
Phone: (937) 878-8644
Fax: (937) 878-8646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063798395
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreene Memorial Hospital Services, Inc
Authorized official Daniel Haibach — Director Business Development · (937) 558-3222
Other names Fairborn Family Practice
NPI enumeratedNovember 1, 2011
Last updated in NPPESMarch 8, 2012
Mailing address2110 Leiter Rd, Miamisburg, OH 45342-3660

Other providers in Fairborn