Organization
CONEMAUGH HEALTH INITIATIVES
Active
Organization
CONEMAUGH HEALTH INITIATIVES
Active
Parent organization
MEDVANTX, INC.
Other names
CHI JENNERSTOWN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
1609 W. PITT ST, JENNERSTOWN, PA 15547
(814) 629-5647
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD440560
PA
Other
Enumeration date
02/09/2012
Last updated
04/25/2013
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