OHIO VALLEY AMBULATORY SURGERY CENTER LLC NPI 1649462409

NPI Information

NPI: 1649462409
Provider Name: OHIO VALLEY AMBULATORY SURGERY CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 36D1071922

Address:
608 WASHINGTON BLVD
BELPRE, OH
ZIP 45714
Phone: (740) 423-4684
Get Directions

OHIO VALLEY AMBULATORY SURGERY CENTER, LLC is a multi-specialty clinic center in Belpre, OH. OHIO VALLEY AMBULATORY SURGERY CENTER, LLC NPI is 1649462409. The provider is registered as an organization entity type.

The provider's business location address is:

608 WASHINGTON BLVD
BELPRE, OH
ZIP 45714-465
Phone: (740) 423-4684
Fax: (740) 423-4694

The provider's authorized official is David Catalino Mendoza .
The authorized official title is President and has the following contact phone number (304) 615-0655.

The CLIA number assigned to this NPI record is 36D1071922 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 10/21/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3612411	MEDICARE PIN	OHIO
2	3810013278	MEDICAID	WEST VIRGINIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »