Organization
UPMC COMMUNITY MEDICINE, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
Chestnut Ridge Family Medicine - UPMC
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
2040 QUAKER VALLEY RD, FISHERTOWN, PA 15539-9723
(814) 839-4152
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
OS010738L
PA
Other
Enumeration date
07/23/2008
Last updated
05/07/2013
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