Organization
REGIONAL HEALTH SERVICES INC.
Active
Parent organization
MEDVANTX, INC.
Other names
Greenfield Internal Medicine
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
300 STATE ST, 103A, ERIE, PA 16507-1427
(814) 454-6390
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
MD418648
PA
Other
Enumeration date
12/23/2011
Last updated
05/21/2013
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