Organization
SAINT VINCENT HEALTH SYSTEM
Active
Parent organization
MEDVANTX, INC.
Other names
SVHS Union City Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
DANIELLE GREEN (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
130 N MAIN ST, 2ND FLOOR, UNION CITY, PA 16438-1068
(814) 438-7208
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
MD045690L
PA
Other
Enumeration date
06/30/2008
Last updated
10/22/2012
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