MEDICARE: MUSKINGUM VALLEY HEALTH CENTERS

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
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1518629708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSKINGUM VALLEY HEALTH CENTERS

Provider Business Mailing Address
First Line	:	716 ADAIR AVE
Second Line	:
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2836
Country	:	US
Telephone Number	:	740-891-9000
Fax Number	:	740-891-9001

Provider Business Practice Location Address
First Line	:	1205 CAMBRIDGE RD STE 100
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-2741
Country	:	US
Telephone Number	:	740-891-9000
Fax Number	:	740-891-9001

Authorized Official
Title or Position	:	CEO
Name	:	DANIEL ATKINSON
Credential	:
Telephone Number	:	740-891-9000

Provider Enumeration Date	:	10/06/2021
Last Update Date	:	06/21/2022

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Practice Location Address:

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Practice Fax: 740-891-9001

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