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: 36D2323817
  • Address: 601 STATE ROUTE 664 N
    LOGAN, OH
    ZIP 43138
  • Phone: (740) 380-8140

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NPI Details

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:

601 STATE ROUTE 664 N
LOGAN, OH
ZIP 43138-541
Phone: (740) 380-8140
Fax: (740) 380-8150

The provider's authorized official is Kimberly Brown .
The authorized official title is Credentialing Specialist and has the following contact phone number (740) 380-8350.

The CLIA number assigned to this NPI record is 36D2323817 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/20/2025.

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
1207X00000XOrthopaedic SurgeryOHIONo
2207XX0005XOrthopaedic SurgerySports MedicineOHIONo
3208000000XPediatricsOHIONo
42084P0800XPsychiatry & NeurologyPsychiatryOHIONo
5208600000XSurgeryOHIONo
6208D00000XGeneral PracticeOHIONo
7363A00000XPhysician AssistantOHIONo
8363AS0400XPhysician AssistantSurgicalOHIONo
9363L00000XNurse PractitionerOHIONo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1023303500OTHEROHIOBLACK LUNG
20261756MEDICAIDOHIO

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: 11/21/2025

NPI Synchronization or Removal

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