Jeannette Primary Care

NPI #1982746061 in Jeannette, Pennsylvania

Provider Information

NPI Number
1982746061
Entity Type
Organization
Organization Name
Jeannette Primary Care
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 13, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
610 JEFFERSON AVE
ZIP Code
15644-2507
Phone
(724) 527-1145

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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