Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC,
Other names
Westmoreland Family Medicine UPMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC,
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
3520 STATE ROUTE 130, IRWIN, PA 15642
(724) 744-2043
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD019987E
PA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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