| Organization Name: | OHIO VALLEY MEDICAL CENTER INC |
| NPI Number: | 1073578803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON MARIE EBBERT (PROVIDER APPLICATION) |
| Mailing Address: | 106 Plaza Dr Saint Clairsville |
| State: | OH US |
| Postal Code: | 439508736 |
| Phone Number: | 7406955200 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 12/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 5 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |