Organization
UPMC COMMUNITY MEDICINE, INC.
Active
Parent organization
MEDVANTX, INC.
Other names
Northern Medical Associates - UPMC - Shaler
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
880 BUTLER ST, SHALER PLAZA, PITTSBURGH, PA 15223-1319
(412) 782-3144
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
OS007487L
PA
Other
Enumeration date
01/30/2009
Last updated
05/15/2013
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