Healthcare Provider Details

I. General information

NPI: 1811752090
Provider Name (Legal Business Name): OVP HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/13/2024
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 327
HUNTINGTON WV
25708-0327
US

V. Phone/Fax

Practice location:
  • Phone: 740-446-4600
  • Fax:
Mailing address:
  • Phone: 304-429-1088
  • Fax: 304-429-3109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LYNN BLANKENSHIP
Title or Position: CREDENTIALING MANAGER
Credential: CREDENTIALING MANAGE
Phone: 304-429-1088