Organization
ALLEGHENY HEALTH NETWORK HOME INFUSION LLC
Active
Other names
Vantage HME Limited
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JO HUNTER (PRESIDENT)
(814) 337-0000
Entity
Organization
Contact information
Practice address
1305 S MAIN ST, MEADVILLE, PA 16335-3036
(855) 693-2286
(888) 704-4877
Mailing address
1305 S MAIN ST, MEADVILLE, PA 16335-3036
(855) 693-2286
(888) 704-4877
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
PP413955L
PA
333600000X
Pharmacy
PP413955L83105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007613480002
—
PA
01
—
3968647
NCPDP
—
Enumeration date
06/01/2005
Last updated
02/07/2020
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