TRI - STATE MEDICAL GROUP, INC.; NPI #1699817072

Contact Information

TRI - STATE MEDICAL GROUP, INC.

207 SECOND STREET
A
DARLINGTON, PA 16115

Phone: 724-827-8137
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for TRI - STATE MEDICAL GROUP, INC.

NPI Number 1699817072

LBN Legal business name TRI - STATE MEDICAL GROUP, INC.

Authorized official KENNY HEINE - (DIRECTOR OF OPERATIONS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/13/2007

Last updated 10/17/2012 - About 14 years ago

Identifiers

License #

MD059976L

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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TRI - STATE MEDICAL GROUP, INC.

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for TRI - STATE MEDICAL GROUP, INC.

Reviews for TRI - STATE MEDICAL GROUP, INC.