Healthcare Provider Details
I. General information
NPI: 1770175119
Provider Name (Legal Business Name): OVP HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2021
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
936 STATE ROUTE 160
GALLIPOLIS OH
45631-8243
US
IV. Provider business mailing address
PO BOX 390
HUNTINGTON WV
25708-0390
US
V. Phone/Fax
- Phone: 740-446-4600
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
BLANKENSHIP
Title or Position: LEAD CREDENTIALING SPECIALIST
Credential:
Phone: 304-429-1088