Organization
CONEMAUGH HEALTH INITIATIVES
Active
Parent organization
MEDVANTX, INC.
Other names
CHI DAVIDSVILLE
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
207 WOODSTOWN HWY, HOLLSOPPLE, PA 15935-7119
(814) 479-4034
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
OS010616L
PA
Other
Enumeration date
02/07/2012
Last updated
04/25/2013
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