Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC.
Other names
UPMC Family Medicine South
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
2397 MOUNTAIN VIEW DR, WEST MIFFLIN, PA 15122-2445
(412) 650-9700
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
MD069303L
PA
Other
Enumeration date
11/17/2008
Last updated
05/15/2013
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