Organization
OHIO VALLEY HEARTCARE INC
Active
Parent organization
OHIO VALLEY HEARTCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO VALLEY HEARTCARE INC
Authorized official
KC FRESCOLN CEO (CEO)
(812) 473-2642
Entity
Organization
Contact information
Practice address
1405 LOCUST ST, ELDORADO, IL 62930-1629
(812) 473-2642
Mailing address
901 ST MARYS DR, SUITE 300, EVANSVILLE, IN 47714-8005
(812) 473-2642
(812) 474-4458
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967021
—
IL
Enumeration date
09/20/2006
Last updated
07/12/2007
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