| Tri-state Medical Group, Inc | |
|
918 3rd Ave Beaver Falls PA 15010-4613 | |
| (724) 773-8895 | |
| (724) 770-7945 |
| Full Name | Tri-state Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 918 3rd Ave, Beaver Falls, Pennsylvania |
| Authorized Official Name and Position | Norman F. Mitry (PRESIDENT & CEO) |
| Authorized Official Contact | 7247734776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Medical Group, Inc 918 3rd Ave Beaver Falls PA 15010-4613 Ph: (724) 773-8895 | Tri-state Medical Group, Inc 918 3rd Ave Beaver Falls PA 15010-4613 Ph: (724) 773-8895 |
| NPI Number | 1396076881 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396076881 | NPI | - | NPPES |
| 0015654460023 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD437163 (Pennsylvania) | Primary |
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