MEDICARE: OHIO VALLEY PHYSICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	261QM1300X	Multi-Specialty Clinic/Center
3	261QP2300X	Primary Care Clinic/Center
4	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1316476336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO VALLEY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	PO BOX 390
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25708-0390
Country	:	US
Telephone Number	:	304-429-1088
Fax Number	:	304-696-1623

Provider Business Practice Location Address
First Line	:	108 W MADISON ST
Second Line	:
City	:	LOUISA
State	:	KY
Zip	:	41230-1327
Country	:	US
Telephone Number	:	606-826-0341
Fax Number	:	606-826-0349

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	MELISSA ASHWORTH
Credential	:
Telephone Number	:	304-429-1088

Provider Enumeration Date	:	06/05/2017
Last Update Date	:	05/02/2023

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Directions to “OHIO VALLEY PHYSICIANS INC ” Practice Location

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