Organization
REGIONAL HEALTH SERVICES
Active
Parent organization
MEDVANTX, INC.
Other names
Harborcreek Family Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
5241 BUFFALO RD, ERIE, PA 16510-2391
(814) 877-5100
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD022971E
PA
Other
Enumeration date
02/22/2007
Last updated
06/22/2012
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