Otterbein Portage Valley, Inc. in Pemberville - Skilled Nursing Facility

Otterbein Portage Valley, Inc. - NPI 1629060058

Otterbein Portage Valley, Inc. is a Skilled Nursing Facility in Pemberville, Ohio. Otterbein Portage Valley, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Otterbein Portage Valley, Inc. is 1629060058. The last update date is 2017-04-24.

Otterbein Portage Valley, Inc.'s current location address is 20311 Pemberville Rd, Pemberville, Ohio. You can contact this provider via phone number 4198337000 and fax number 4198335763. The mailing address for Otterbein Portage Valley, Inc. is 20311 Pemberville Rd, Pemberville, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Otterbein Portage Valley, Inc.
Address 20311 Pemberville Rd, Pemberville, Ohio
Phone Number 4198337000
Fax Number 4198335763
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AVP FINANC
Authorized Official Name Hawkins C Rita
Telephone Number 5139335401

NPI Number Detail

NPI Number 1629060058
Provider Enumeration Date 2005-08-22
Last Updated Date 2017-04-24

Provider Mailing Address Detail

Address 20311 Pemberville Rd
City Pemberville
State Ohio (OH)
Post Code 434509413
Phone Number 4198337000
Fax Number 4198335763

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 4762
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
610093 OH --
537130002 DMERC

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FAQs about Otterbein Portage Valley, Inc.

What is the unique 10-digit identifier code assigned to Otterbein Portage Valley, Inc. by the Centers for Medicare & Medicaid Services?

The Otterbein Portage Valley, Inc. has been issued the NPI (National Provider Identifier) 1629060058 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Otterbein Portage Valley, Inc.'s facilities are geographically located?

The facilities of Otterbein Portage Valley, Inc. are physically situated at the following location: 20311 Pemberville Rd, Pemberville, OH, 434509413.

What is Otterbein Portage Valley, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Otterbein Portage Valley, Inc.'s specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

What is Otterbein Portage Valley, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Otterbein Portage Valley, Inc. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

When was the information related to Otterbein Portage Valley, Inc. most recently updated or refreshed?

The details pertaining to the Otterbein Portage Valley, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2017-04-24.

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