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Contact Information

HERITAGE VALLEY MEDICAL GROUP, INC.
993 BRODHEAD RD
MOON, PA15108-2331
 Phone: 412-264-1918
 Fax: 412-264-9114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HERITAGE VALLEY MEDICAL GROUP, INC.

NPI # 1477705051
LBN Legal business name HERITAGE VALLEY MEDICAL GROUP, INC.
Authorized official NORMAN MITRY - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2008
Last updated 06/29/2012 - About 14 years ago
Identifiers
OH Medicaid 2297465
PA Medicaid 0014950830029
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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