Provider Type Icon

HOCKING VALLEY MEDICAL GROUP INC. NPI 1801994827


NPI Information

NPI: 1801994827
Provider Name: HOCKING VALLEY MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0655777

Address:
819 STATE ROUTE 664 N
SUITE A & B
LOGAN, OH
ZIP 43138
Phone: (740) 385-0202
Get Directions

HOCKING VALLEY MEDICAL GROUP, INC. is a family medicine in Logan, 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. HOCKING VALLEY MEDICAL GROUP, INC. NPI is 1801994827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

819 STATE ROUTE 664 N
SUITE A & B
LOGAN, OH
ZIP 43138-540
Phone: (740) 385-0202
Fax: (740) 385-0505

The provider's authorized official is Letha Jean Heft .
The authorized official title is Assistant Practice Manager and has the following contact phone number (740) 385-7564.

The CLIA number assigned to this NPI record is 36D0655777 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/29/2016.


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
1208D00000XGeneral PracticeOHIONo
2207X00000XOrthopaedic SurgeryOHIONo
3208000000XPediatricsOHIONo
42084P0800XPsychiatry & NeurologyPsychiatryOHIONo
5208600000XSurgeryOHIONo
6207XX0005XOrthopaedic SurgerySports MedicineOHIONo
7363L00000XNurse PractitionerOHIONo
8363AS0400XPhysician AssistantSurgicalOHIONo
9363A00000XPhysician AssistantOHIONo
10207Q00000XFamily MedicineOHIOYes

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
10261756MEDICAIDOHIO
2023303500OTHEROHIOBLACK LUNG
39284161MEDICARE PINOHIO

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

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.