Organization
OVP MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LANDERS (EXECUTIVE ASSISTANT)
(304) 429-1088
Entity
Organization
Contact information
Practice address
55 HOSPITAL DR, ED - DEPT., ATHENS, OH 45701-2302
(304) 429-1088
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 696-1623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003452343
NPI
OH
Enumeration date
11/21/2019
Last updated
12/11/2019
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