# HERITAGE VALLEY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HVMG Trinity Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417109018
- **Authorized official:** NORMAN F. MITRY (PRESIDENT & CEO)
- **Authorized official phone:** (724) 773-4776

## Contact information

- **Practice address:** 2620 CONSTITUTION BLVD, UPPER LEVEL, BEAVER FALLS, PA 15010-1278
- **Practice address phone:** (724) 847-4755
- **Mailing address:** 2620 CONSTITUTION BLVD, UPPER LEVEL, BEAVER FALLS, PA 15010-1278
- **Mailing address phone:** (724) 847-4755

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 06/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0015654460023 | — | PA |
| 05 | — | 0202677 | — | OH |