MEDICARE: OHRH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1518433960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHRH, LLC

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	783 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1901
Country	:	US
Telephone Number	:	614-459-9409
Fax Number	:	614-457-3693

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL TARVIN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	10/23/2018
Last Update Date	:	10/23/2018

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Directions to “OHRH, LLC ” Practice Location

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