Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC.
Other names
Venango Internal Medicine Assoc - UPMC
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
1 MEMORIAL DR, OIL CITY, PA 16301-1341
(814) 676-8571
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
MD423878
PA
Other
Enumeration date
11/16/2007
Last updated
04/25/2013
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