Organization
OHIO VALLEY MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAD TEFERA (CFO)
(412) 777-6547
Entity
Organization
Contact information
Practice address
25 HECKEL RD, MCKEES ROCKS, PA 15136
(412) 777-6478
(412) 777-6908
Mailing address
PO BOX 49, PITTSBURGH, PA 15230-0049
(412) 937-5700
(412) 937-5739
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018718180001
—
PA
01
—
1920240
BLUE SHIELD
PA
Enumeration date
02/12/2007
Last updated
07/23/2014
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