Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greene Memorial Hospital Services, LLC

Organization Family Medicine Physician · NPI 1710263041

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

In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

979 Congress Park Dr
Centerville, OH 45459-4009 Not confirmed with CMS for 14 years — call before visiting
Phone: (937) 435-9013
Fax: (937) 435-1458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1710263041
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreene Memorial Hospital Services, LLC
Authorized official Daniel Haibach — Director Business Development · (937) 558-3222
Other names Congress Park Family Practice
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011
Mailing address2110 Leiter Rd, Miamisburg, OH 45342-3660

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