Organization
VINTON CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN THOMPSON (ADMINISTRATOR)
(740) 596-5233
Entity
Organization
Contact information
Practice address
31927 STATE ROUTE 93, MC ARTHUR, OH 45651-8766
(740) 596-5233
(740) 596-5837
Mailing address
31927 STATE ROUTE 93, MC ARTHUR, OH 45651-8766
(740) 596-5233
(740) 596-5837
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650460
—
OH
Enumeration date
05/02/2006
Last updated
01/15/2010
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