Provider Demographics
NPI:1558329557
Name:VINTON CO
Entity Type:Organization
Organization Name:VINTON CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-596-5233
Mailing Address - Street 1:31927 STATE ROUTE 93
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-8766
Mailing Address - Country:US
Mailing Address - Phone:740-596-5233
Mailing Address - Fax:740-596-5837
Practice Address - Street 1:31927 STATE ROUTE 93
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-8766
Practice Address - Country:US
Practice Address - Phone:740-596-5233
Practice Address - Fax:740-596-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0650460Medicaid
OHFV91271Medicare ID - Type Unspecified
OH0650460Medicaid