Organization
REGIONAL HEALTH SERVICES INC
Active
Parent organization
MEDVANTX, INC.
Other names
UPMC Bayside Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
510 CRANBERRY ST, SUITE 200, ERIE, PA 16507-1075
(814) 877-5274
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS010250L
PA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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