| Ohio Valley Medical Quickcare Inc | |
|
324 Pike St Marietta OH 45750-3323 | |
| (740) 374-4540 | |
| (740) 374-3373 |
| Full Name | Ohio Valley Medical Quickcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 324 Pike St, Marietta, Ohio |
| Authorized Official Name and Position | Johnny D Jurado (BUSINESS MANAGER) |
| Authorized Official Contact | 3044852700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Valley Medical Quickcare Inc 417 Grand Park Dr Ste 103 Parkersburg WV 26105-4049 Ph: (304) 485-2700 | Ohio Valley Medical Quickcare Inc 324 Pike St Marietta OH 45750-3323 Ph: (740) 374-4540 |
| NPI Number | 1144218694 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 2264428457 |
|---|---|
| Medicare Enrollment ID | O20040423000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144218694 | NPI | - | NPPES |
| 2208891 | Medicaid | OH | |
| 0019701003 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brandon N Dewees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033558549 PECOS PAC ID: 1951543289 Enrollment ID: I20130815000338 |
| Provider Name | Charlotte Rose Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902128358 PECOS PAC ID: 3173755352 Enrollment ID: I20140423000525 |
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