Broad Street Family Health Center
NPI #1417105347 in Marysville, Pennsylvania
Provider Information
- NPI Number
- 1417105347
- Entity Type
- Organization
- Organization Name
- Broad Street Family Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 4, 2008
- Last Updated
- Dec 17, 2015
Practice Location
- Address
- 211 BROAD ST
- City
- Marysville
- State
- Pennsylvania
- ZIP Code
- 17053-1302
- Phone
- (717) 957-3500
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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