Provider Demographics
NPI:1104902865
Name:THE OHIO WILLOW WOOD COMPANY
Entity type:Organization
Organization Name:THE OHIO WILLOW WOOD COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ADMINISTRATIVE SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-869-3377
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:15441 SCIOTO DARBY ROAD
Mailing Address - City:MT STERLING
Mailing Address - State:OH
Mailing Address - Zip Code:43143
Mailing Address - Country:US
Mailing Address - Phone:740-869-3377
Mailing Address - Fax:740-869-4374
Practice Address - Street 1:15441 SCIOTO DARBY ROAD
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:OH
Practice Address - Zip Code:43143
Practice Address - Country:US
Practice Address - Phone:740-869-3377
Practice Address - Fax:740-869-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1210670001Medicare ID - Type Unspecified