Organization
MVHE INC
Active
Parent organization
MVHE INC
Other names
Jamestown Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MVHE INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8213
Entity
Organization
Contact information
Practice address
4940 COTTONVILLE RD, SUITE 100, JAMESTOWN, OH 45335-1522
(937) 675-6830
(937) 675-6835
Mailing address
4940 COTTONVILLE RD, SUITE 100, JAMESTOWN, OH 45335-1522
(937) 675-6830
(937) 675-6835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517164
—
OH
Enumeration date
05/18/2006
Last updated
11/06/2013
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