Upper Miami Valley Urology Clinic, Inc.

LBN: Upper Miami Valley Urology Clinic, Inc.
Upper Miami Valley Urology Clinic, Inc. is an health care organization with primary practice located at 9163 N County Road 25A , Piqua OH 45356-4524. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Upper Miami Valley Urology Clinic, Inc. can be contacted via phone (937) 773-7083, or through Ponferrada, Virgilio A. via phone (937) 773-7083.

Contact Information

Primary practice address
9163 N County Road 25A Piqua OH 45356-4524
Phone: (937) 773-7083
Fax: (937) 773-9716
Website:
Map and Directions
Authorized official contact:
Name: Ponferrada, Virgilio A. Doctor of Medicine (MD)
Phone: (937) 773-7083

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037425 Ohio

Profile Details

NPI number 1558537704
LBN Legal business name Upper Miami Valley Urology Clinic, Inc.
DBA Doing business as
Authorized official Ponferrada, Virgilio A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558537704 NPPES
Ohio MEDICAID 0746803

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