Provider Demographics
NPI:1851488076
Name:LVA MED.CENTER, CHILLICOTHE, OHIO
Entity Type:Organization
Organization Name:LVA MED.CENTER, CHILLICOTHE, OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ILIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-773-1141
Mailing Address - Street 1:4111 LONGHILL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4847
Mailing Address - Country:US
Mailing Address - Phone:614-459-7457
Mailing Address - Fax:
Practice Address - Street 1:17273 STATE ROUTE 104
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8608
Practice Address - Country:US
Practice Address - Phone:740-773-1141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146253-1282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural