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NPI Code Detail

MEDICARE: MVHE INC

MEDICARE: MVHE INC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982657318
Entity Type Code : Organization
Provider Name (Legal Business Name) : MVHE INC
Provider Business Mailing Address
First Line : 4940 COTTONVILLE RD
Second Line : SUITE 100
City : JAMESTOWN
State : OH
Zip : 45335-1522
Country : US
Telephone Number : 937-675-6830
Fax Number : 937-675-6835
Provider Business Practice Location Address
First Line : 4940 COTTONVILLE RD
Second Line : SUITE 100
City : JAMESTOWN
State : OH
Zip : 45335-1522
Country : US
Telephone Number : 937-675-6830
Fax Number : 937-675-6835
Authorized Official
Title or Position : CEO/PRESIDENT
Name : KENNETH PRUNIER
Credential :
Telephone Number : 937-208-8213
Provider Enumeration Date : 05/18/2006
Last Update Date : 11/06/2013

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Directions to “MVHE INC ” Practice Location

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