Healthcare Provider Details

I. General information

NPI: 1558968495
Provider Name (Legal Business Name): OVP HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 CARTER AVE
ASHLAND KY
41101-7830
US

IV. Provider business mailing address

PO BOX 327
HUNTINGTON WV
25708-0327
US

V. Phone/Fax

Practice location:
  • Phone: 606-329-0727
  • Fax: 606-329-1327
Mailing address:
  • Phone: 304-429-1088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA ASHWORTH
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 304-429-1088