Organization
REGIONAL HEALTH SERVICES INC
Active
Parent organization
MEDVANTX, INC.
Other names
FAMILY HEALTH CARE OF EDINBORO
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
120 WASH TOWNE BLVD, EDINBORO, PA 16412-1254
(814) 734-8647
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
MD044267L
PA
Other
Enumeration date
05/11/2012
Last updated
01/29/2013
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