# HERITAGE VALLEY MULTISPECIALTY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
- **Other names:** HVMG Primary Care West
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154962561
- **Legal business name:** HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
- **Authorized official:** BRYAN J RANDALL (VICE PRESIDENT & CEO)
- **Authorized official phone:** (412) 749-7027

## Contact information

- **Practice address:** 6521 STEUBENVILLE PIKE, PITTSBURGH, PA 15205-1005
- **Practice address phone:** (724) 773-5890
- **Practice address fax:** (724) 773-5892
- **Mailing address:** 6521 STEUBENVILLE PIKE, PITTSBURGH, PA 15205-1005
- **Mailing address phone:** (724) 773-5890
- **Mailing address fax:** (724) 773-5892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2019
- **Last updated:** 10/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001565446 | — | PA |