NPI 1124142120

Ip Nurses Aide

Organisation Preferred Provider Organization Powhatan Point, OH

Practice location

Address: 123 Clark St, Powhatan Point, OH 43942-1261
Phone: (740) 795-5946
Mailing address: PO Box 130, Beallsville, OH 43716-0130

Authorised official

Name: Gregory Jason Smith
Title: None Agency Nurses Aide
Phone: (740) 213-0567

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Ohio →

Registry record

NPI: 1124142120
Entity type: Organization
NPI issued: 17 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.