# MID-OHIO VALLEY MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235353103
- **Authorized official:** MRS. LISA G HAYS (OFFICE COORDINATOR)
- **Authorized official phone:** (304) 485-4439

## Contact information

- **Practice address:** 610 WASHINGTON BLVD, SUITE 1, BELPRE, OH 45714-2465
- **Practice address phone:** (740) 423-5055
- **Practice address fax:** (740) 423-5058
- **Mailing address:** 800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4100
- **Mailing address phone:** (304) 485-4439
- **Mailing address fax:** (304) 485-6489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1514286 | OH | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 06/05/2013