Basic Information
| Provider Information | |||||||||
| NPI: | 1528520079 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OHIO VALLEY PHYSICIANS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 390 | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257080390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044291088 | ||||||||
| FaxNumber: | 3046961623 | ||||||||
| Practice Location | |||||||||
| Address1: | 1644 JACKSON ST | ||||||||
| Address2: | |||||||||
| City: | BARNWELL | ||||||||
| State: | SC | ||||||||
| PostalCode: | 298122156 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8035411245 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2019 | ||||||||
| LastUpdateDate: | 04/03/2019 | ||||||||
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| AuthorizedOfficialLastName: | LANDERS | ||||||||
| AuthorizedOfficialFirstName: | TARA | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE ASSISTANT | ||||||||
| AuthorizedOfficialTelephone: | 3044291088 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.