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MVHE INC NPI 1417032764


NPI Information

NPI: 1417032764
Provider Name: MVHE INC

Doing Business As: SOUTH TOWN FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D1061327

Address:
6611 CLYO RD
SUITE B
DAYTON, OH
ZIP 45459
Phone: (937) 208-7474
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MVHE INC is a family medicine in Dayton, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MVHE INC NPI is 1417032764. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Town Family Practice.

The provider's business location address is:

6611 CLYO RD
SUITE B
DAYTON, OH
ZIP 45459-786
Phone: (937) 208-7474
Fax: (937) 208-7470

The provider's authorized official is Kenneth Prunier .
The authorized official title is President/ceo and has the following contact phone number (937) 208-8213.

The CLIA number assigned to this NPI record is 36D1061327 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19187611MEDICARE PINOHIO
22694188MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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