Organization Active NPI

Mid-Ohio Valley Medical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Belpre, OH
National Provider Identifier
1790734978
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MID-OHIO VALLEY MEDICAL CENTER INC
Practice address
610 Washington Blvd
Ste 2
Belpre, OH 45714-2465
Phone
(740) 423-5042
Fax
(740) 423-5047
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Mendoza, MD
Title
President
Phone
(740) 423-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OH Primary

Addresses

Primary practice location

610 Washington Blvd
Ste 2
Belpre, OH 45714-2465

Mailing address

610 Washington Blvd
Ste 2
Belpre, OH 45714-2465
Phone (740) 423-5042

Other identifiers 2

IdentifierTypeStateIssuer
3810010909MedicaidWV
2801570MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1790734978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "address_2": "STE 2",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142465",
            "telephone_number": "740-423-5042",
            "fax_number": "740-423-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WASHINGTON BLVD",
            "address_2": "STE 2",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142465",
            "telephone_number": "740-423-5042",
            "fax_number": "740-423-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO VALLEY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-423-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010909",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801570",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.