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Organization

CONEMAUGH HEALTH INITIATIVES, INC.

Active
Parent organization
MEDVANTX, INC.
Other names
CHI Cresson Family Practice
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization

Contact information

Practice address
225 KEYSTONE AVE, CRESSON, PA 16630-1214
(814) 886-4635
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD013554E
PA

Other

Enumeration date
02/12/2007
Last updated
10/16/2012
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