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MT VICTORY FAMILY PRACTICE LLC
NPI 1245379494
Family Medicine in Mt Victory, OH

Active since February 05, 2007
460 S MAIN ST, MT VICTORY, OH 43340(937) 354-2028(934) 354-2029 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mt Victory Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MT VICTORY FAMILY PRACTICE LLC (NPI 1245379494) is a healthcare organization registered as a family medicine in Mt Victory, Ohio and active in the NPI registry since February 2007. The organization lists Holly R Recob, Physician, as its authorized official.

NPPES Registry Identity

NPI1245379494
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMT VICTORY FAMILY PRACTICE LLC
Location Address460 S MAIN STMt Victory, OH 43340
Mailing Address460 S Main StMt Victory, OH 43340 · (937) 354-2028 · Fax (934) 354-2029
Phone(937) 354-2028
Fax(934) 354-2029
Organization SubpartNo
Authorized OfficialHolly R RecobPhysician · (937) 354-2028
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJune 20, 2008
✔ NPI 1245379494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34005413R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
460 S MAIN ST, Mt Victory, OH 43340
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Other Identifiers 2

Medicare ID-Type Unspecified9356121OH
Medicaid0937795OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN MARIE CANTRELL PA-C
Physician Assistant
460 S MAIN ST
MOUNT VICTORY, OH 43340
Hardin County (937) 354-2027
DR. HOLLY R RECOB DO
Family Medicine
460 S MAIN ST
MOUNT VICTORY, OH 43340
Hardin County (937) 354-2027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mt Victory Family Practice LLC's NPI number?

The NPI number for Mt Victory Family Practice LLC is 1245379494. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Mt Victory Family Practice LLC located?

Mt Victory Family Practice LLC is located at 460 S Main St, Mt Victory, OH 43340. The listed phone number is (937) 354-2028.

What is Mt Victory Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mt Victory Family Practice LLC was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.