Organization
BECKFORD AVENUE MEDICAL CENTER PA
Active
Organization
BECKFORD AVENUE MEDICAL CENTER PA
Active
Parent organization
MEDVANTX INC
Other names
Beckford Avenue Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX INC
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
85896252990
Entity
Organization
Contact information
Practice address
176 S BECKFORD DR, HENDERSON, NC 27536-2584
(252) 492-2888
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
23579
NC
Other
Enumeration date
07/03/2008
Last updated
10/22/2012
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