| Heritage Valley Medical Group, Inc. | |
|
21 7th St Midland PA 15059-1452 | |
| (724) 643-4852 | |
| Not Available |
| Full Name | Heritage Valley Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 21 7th St, Midland, 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 |
|---|---|
| Heritage Valley Medical Group, Inc. 21 7th St Midland PA 15059-1452 Ph: (724) 643-4852 | Heritage Valley Medical Group, Inc. 21 7th St Midland PA 15059-1452 Ph: (724) 643-4852 |
| NPI Number | 1962654475 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962654475 | NPI | - | NPPES |
| 0015654460023 | Medicaid | PA | |
| 0202677 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |