Organization
BADEN AREA HEALTHCARE
Active
Parent organization
MEDVANTX, INC.
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
210 OHIO RIVER BLVD, BADEN, PA 15005-1914
(724) 869-6002
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
MD053811L
PA
Other
Enumeration date
07/15/2009
Last updated
07/19/2013
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