Healthcare Provider Details

I. General information

NPI: 1306988001
Provider Name (Legal Business Name): OHIO VALLEY MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HECKEL RD
MCKEES ROCKS PA
15136
US

IV. Provider business mailing address

PO BOX 49
PITTSBURGH PA
15230-0049
US

V. Phone/Fax

Practice location:
  • Phone: 412-777-6478
  • Fax: 412-777-6908
Mailing address:
  • Phone: 412-937-5700
  • Fax: 412-937-5739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. TAD TEFERA
Title or Position: CFO
Credential:
Phone: 412-777-6547