Organization
MVHE INC
Active
Parent organization
MVHE INC
Other names
Walden Ponds Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MVHE INC
Authorized official
KENNETH J PRUNIER (PRESIDENT/CEO)
(937) 208-8213
Entity
Organization
Contact information
Practice address
5971 GOLF CLUB LN, HAMILTON, OH 45011-8200
(513) 785-4339
(513) 785-4338
Mailing address
5971 GOLF CLUB LN, HAMILTON, OH 45011-8200
(513) 785-4339
(513) 785-4338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813389
—
OH
Enumeration date
08/25/2006
Last updated
11/06/2013
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