# HERITAGE VALLEY MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1225696016
- **Legal business name:** HERITAGE VALLEY MEDICAL GROUP, INC.
- **Authorized official:** MR. BRYAN J RANDALL (VICE PRESIDENT & CFO)
- **Authorized official phone:** (412) 749-7027

## Contact information

- **Practice address:** 27 HECKEL RD STE 210, MC KEES ROCKS, PA 15136-1673
- **Practice address phone:** (412) 262-4694
- **Practice address fax:** (412) 262-5920
- **Mailing address:** 1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
- **Mailing address phone:** (724) 773-4776
- **Mailing address fax:** (724) 773-4726

## Taxonomy

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

## Other

- **Enumeration date:** 06/05/2019
- **Last updated:** 06/05/2019

## Other identifiers

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