Active NPI
Ohio Valley Medical Quickcare, Inc
- Clinical Medical Laboratory
- Parkersburg, WV
National Provider Identifier
1205988110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 291U00000X
- Legal business name
- OHIO VALLEY MEDICAL QUICKCARE, INC
- Practice address
- 517 36TH St
Parkersburg, WV 26101-1006 - Phone
- (304) 485-1044
- Fax
- (304) 422-1861
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Johnny D Jurado
- Title
- Business Manager
- Phone
- (304) 485-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 291U00000X | WV | Primary |
Addresses
Primary practice location
517 36TH St
Parkersburg, WV 26101-1006
Mailing address
417 Grand Park Dr
Suite 103
Parkersburg, WV 26105-4049
Phone (304) 485-2700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019701003 | Medicaid | WV | |
| 2208891 | Medicaid | OH | |
| 0019701002 | Medicaid | OH | |
| 2242433 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Ohio Valley Medical Quickcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Marietta, OH
- NPI 1801948807
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Parkersburg, WV
- NPI 1780672519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205988110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 GRAND PARK DR",
"address_2": "SUITE 103",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261054049",
"telephone_number": "304-485-2700",
"fax_number": "304-485-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 36TH ST",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261011006",
"telephone_number": "304-485-1044",
"fax_number": "304-422-1861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO VALLEY MEDICAL QUICKCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JURADO",
"authorized_official_first_name": "JOHNNY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "304-485-2700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "WV",
"license": "291U00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019701003",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2208891",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019701002",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2242433",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.