Heritage Valley Health System - Tristate Medical

NPI #1205183639 in Monaca, Pennsylvania

Provider Information

NPI Number
1205183639
Entity Type
Organization
Organization Name
Heritage Valley Health System - Tristate Medical
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Aug 3, 2012
Last Updated
Oct 25, 2012

Practice Location

Address
3468 BRODHEAD RD
City
Monaca
ZIP Code
15061-3149
Phone
(724) 857-0591

Authorized Official

Name
KENNY HEINE
Title
VP OPS
Phone
(858) 964-1508

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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Provider Name
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