Organization
HERITAGE VALLEY MEDICAL GROUP, INC.
Active
Other names
HVMG Fifth Avenue Medical
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN F. MITRY (PRESIDENT & CEO)
(724) 773-4776
Entity
Organization
Contact information
Practice address
1101 5TH AVE, SUITE 202, CORAOPOLIS, PA 15108-1577
(412) 269-0899
(412) 269-1462
Mailing address
1101 5TH AVE, SUITE 202, CORAOPOLIS, PA 15108-1577
(412) 269-0899
(412) 269-1462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014950830029
—
PA
05
—
2297465
—
OH
Enumeration date
10/15/2008
Last updated
06/29/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us