Organization
UPMC COMMUNITY MEDICINE, INC
Active
Parent organization
MEDVANTX, INC.
Other names
COMPREHENSIE CARE ASSOCIATES - UPMC BLOOMFIELD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
5140 LIBERTY AVE, 412, PITTSBURGH, PA 15224-2215
(412) 315-0400
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
MD014295E
PA
Other
Enumeration date
08/09/2012
Last updated
10/25/2012
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