HARRY T MATHIVHA


Address: 985 E Marietta Rd, Mcconnelsville, OH 43756-9768
Phone: 7409622152

HARRY T MATHIVHA (NPI# 1588765929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588765929
Entity Type Organization
Organization Name HARRY T MATHIVHA
Other Organization Name LIV FITNESS CENTER
Practice Address 985 E Marietta Rd
Mcconnelsville
OH 43756-9768
Mailing Address 103 Arborgate Dr
Marietta
OH 45750-9224
Practice Telephone 7409622152
Mailing Telephone 7409622152
Enumeration Date 2006-09-26
Last Update Date 2008-06-17
Authorized Official Name MR. HARRY TSHIFHIWA MATHIVHA (OWNER)
Authorized Official Telephone 7409622152
Authorized Official Credential OTR/L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
OT.003354 OH Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LIV FITNESS CENTER Doing Business As Name - Organization

Office Location

Street Address 985 E MARIETTA RD
City MCCONNELSVILLE
State OH
Zip Code 43756-9768

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1356592869 Laurie A Cunningham Counselor 915 S Riverside Dr, Mcconnelsville, OH 43756-0506 2008-10-02
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City MCCONNELSVILLE
Zip Code 43756

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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