Provider Demographics
NPI:1346738606
Name:OHIO VALLEY ANESTHESIA SERVICE, INC
Entity Type:Organization
Organization Name:OHIO VALLEY ANESTHESIA SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-407-0006
Mailing Address - Street 1:3065 S COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:KY
Mailing Address - Zip Code:41034-9616
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7000 HOUSTON RD STE 19
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4882
Practice Address - Country:US
Practice Address - Phone:859-341-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty