| Ovp Health | |
|
557 Main St Logan WV 25601-3809 | |
| (740) 752-3435 | |
| (740) 753-3436 |
| Full Name | Ovp Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 557 Main St, Logan, West Virginia |
| Authorized Official Name and Position | Rachel Lynn Blankenship (LEAD CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044291088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ovp Health Po Box 390 Huntington WV 25708-0390 Ph: (304) 752-3435 | Ovp Health 557 Main St Logan WV 25601-3809 Ph: (740) 752-3435 |
| NPI Number | 1104220409 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 8729032966 |
|---|---|
| Medicare Enrollment ID | O20190509002419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104220409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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