1306988001 NPI number — OHIO VALLEY MEDICAL SERVICES, INC

Table of content: (NPI 1306988001)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306988001 NPI number — OHIO VALLEY MEDICAL SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OHIO VALLEY MEDICAL SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306988001
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 49
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15230-0049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-937-5700
Provider Business Mailing Address Fax Number:
412-937-5739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25 HECKEL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEES ROCKS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-777-6478
Provider Business Practice Location Address Fax Number:
412-777-6908
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TEFERA
Authorized Official First Name:
TAD
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
412-777-6547

Provider Taxonomy Codes

  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1920240 . This is a "BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1018718180001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com