Ehpp Chestnut Ridge LLC
NPI #1093952251 in Blairsville, Pennsylvania
Provider Information
- NPI Number
- 1093952251
- Entity Type
- Organization
- Organization Name
- Ehpp Chestnut Ridge LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jan 9, 2009
- Last Updated
- Jul 8, 2015
Practice Location
- Address
- 56 CLUB LN
- Address 2
- SUITE 203
- City
- Blairsville
- State
- Pennsylvania
- ZIP Code
- 15717-7957
- Phone
- (724) 459-7338
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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