Organization
MVHE INC
Active
Parent organization
MVHE INC
Other names
Centerville Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MVHE INC
Authorized official
KENNETH PRUNIER (PRESIDENT/CEO)
(937) 208-8213
Entity
Organization
Contact information
Practice address
2350 MIAMI VALLEY DR, SUITE 530, CENTERVILLE, OH 45459-4778
(937) 435-3546
(937) 435-3568
Mailing address
2350 MIAMI VALLEY DR, SUITE 530, CENTERVILLE, OH 45459-4778
(937) 435-3546
(937) 435-3568
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0775308
—
OH
Enumeration date
05/17/2006
Last updated
11/06/2013
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