Organization
MID-OHIO VALLEY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MENDOZA MD (PRESIDENT)
(740) 423-5042
Entity
Organization
Contact information
Practice address
610 WASHINGTON BLVD, STE 2, BELPRE, OH 45714-2465
(740) 423-5042
(740) 423-5047
Mailing address
610 WASHINGTON BLVD, STE 2, BELPRE, OH 45714-2465
(740) 423-5042
(740) 423-5047
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2801570
—
OH
05
—
3810010909
—
WV
Enumeration date
05/08/2006
Last updated
05/25/2010
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