Organization
OVP HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LANDERS (DIRECTOR OF CREDENTIALING)
(304) 429-1088
Entity
Organization
Contact information
Practice address
9613 MILLARD HWY, PIKEVILLE, KY 41501-8162
(304) 563-0509
Mailing address
300 8TH ST, HUNTINGTON, WV 25701-1413
(304) 563-0509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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