# HERITAGE VALLEY MULTISPECIALTY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518435981
- **Authorized official:** MR. NORMAN F MITRY (PRESIDENT & CEO)
- **Authorized official phone:** (724) 773-4776

## Contact information

- **Practice address:** 2719 BRODHEAD RD, ALIQUIPPA, PA 15001-2793
- **Practice address phone:** (724) 773-4776
- **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 |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 246RP1900X | Phlebotomy Technician | — | NULL | — |
| 246RP1900X | Phlebotomy Technician | — | — | — |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | NULL | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | — | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 10/02/2019

## Other identifiers

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