Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC
Other names
Valley Family Medicine - UPMC - Lower Burrell
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
1600 WILDLIFE LODGE RD, SUITE 300, LOWER BURRELL, PA 15068-3641
(724) 335-6670
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
MD037419E
PA
Other
Enumeration date
02/13/2007
Last updated
05/20/2014
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