Basic Information
| Provider Information | |||||||||
| NPI: | 1538304050 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | OHIO VALLEY MEDICAL CENTER, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 W. MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375213900 | ||||||||
| FaxNumber: | 9375213910 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 W. MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375213900 | ||||||||
| FaxNumber: | 9375213910 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/12/2008 | ||||||||
| LastUpdateDate: | 10/05/2010 | ||||||||
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| AuthorizedOfficialLastName: | FEHER | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR - MANAGED CARE | ||||||||
| AuthorizedOfficialTelephone: | 5133463152 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | N | Hospitals | General Acute Care Hospital | 282N00000X | #1487 | OH | Y | Hospitals | General Acute Care Hospital |
No ID Information.