Organization
OHIO VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CATALINO MENDOZA MD (PRESIDENT)
(304) 615-0655
Entity
Organization
Contact information
Practice address
608 WASHINGTON BLVD, BELPRE, OH 45714-2465
(740) 423-4684
(740) 423-4694
Mailing address
608 WASHINGTON BLVD, BELPRE, OH 45714-2465
(740) 423-4684
(740) 423-4694
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013278
—
WV
Enumeration date
08/15/2007
Last updated
10/21/2008
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