| Mid-ohio Valley Medical Group, Inc | |
|
800 Grand Central Mall Suite 4 Vienna WV 26105-4131 | |
| (304) 485-3300 | |
| (304) 485-6489 |
| Full Name | Mid-ohio Valley Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Grand Central Mall, Vienna, West Virginia |
| Authorized Official Name and Position | Lisa G Hays (OFFICE COORDINATOR) |
| Authorized Official Contact | 3044854439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-ohio Valley Medical Group, Inc 800 Grand Central Mall Suite 4 Vienna WV 26105-4131 Ph: (304) 485-3300 | Mid-ohio Valley Medical Group, Inc 800 Grand Central Mall Suite 4 Vienna WV 26105-4131 Ph: (304) 485-3300 |
| NPI Number | 1720041171 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720041171 | NPI | - | NPPES |
| 2160325 | Medicaid | OH | |
| 4000315000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01387 (West Virginia) | Primary |
Mid-ohio Valley Nephrology Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Grand Central Mall, Suite 9, Vienna, WV 26105 Phone: 304-834-3970 Fax: 304-916-1871 | |
Parkersburg Infectious Disease Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Grand Central Mall Ste 10, Vienna, WV 26105 Phone: 304-916-1288 Fax: 304-916-1289 | |
Pmr Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Grand Central Ave, Vienna, WV 26105 Phone: 304-485-7500 Fax: 304-485-6777 |