Upmc Community Medicine
NPI #1013316553 in Conneaut Lake, Pennsylvania
Provider Information
- NPI Number
- 1013316553
- Entity Type
- Organization
- Organization Name
- Upmc Community Medicine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 21, 2014
- Last Updated
- Aug 21, 2014
Practice Location
- Address
- 11065 STATE HIGHWAY 18
- Address 2
- SUITE 1
- City
- Conneaut Lake
- State
- Pennsylvania
- ZIP Code
- 16316-3569
- Phone
- (814) 382-6550
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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