Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC
Other names
Northwest Community Medicine - UPMC
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
6885 US HWY 322, SUITE 3, FRANKLIN, PA 16323
(814) 678-4810
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
MD428677
PA
Other
Enumeration date
07/20/2011
Last updated
05/21/2013
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