| Ohio Valley Ambulatory Surgery Center, Llc | |
|
608 Washington Blvd Belpre OH 45714-2465 | |
| (740) 423-4684 | |
| (740) 423-4694 |
| Full Name | Ohio Valley Ambulatory Surgery Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 608 Washington Blvd, Belpre, Ohio |
| Authorized Official Name and Position | David Catalino Mendoza (PRESIDENT) |
| Authorized Official Contact | 3046150655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Valley Ambulatory Surgery Center, Llc 608 Washington Blvd Belpre OH 45714-2465 Ph: (740) 423-4684 | Ohio Valley Ambulatory Surgery Center, Llc 608 Washington Blvd Belpre OH 45714-2465 Ph: (740) 423-4684 |
| NPI Number | 1649462409 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 10/21/2008 |
| Medicare PECOS PAC ID | 3072681535 |
|---|---|
| Medicare Enrollment ID | O20081010000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649462409 | NPI | - | NPPES |
| 3810013278 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Mid-ohio Valley Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Washington Blvd, Suite 1, Belpre, OH 45714 Phone: 740-423-5055 Fax: 740-423-5058 |