| Heritage Valley Medical Group, Inc | |
|
1307 6th Ave New Brighton PA 15066-2129 | |
| (724) 847-2870 | |
| Not Available |
| Full Name | Heritage Valley Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1307 6th Ave, New Brighton, 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 1307 6th Ave New Brighton PA 15066-2129 Ph: (724) 847-2870 | Heritage Valley Medical Group, Inc 1307 6th Ave New Brighton PA 15066-2129 Ph: (724) 847-2870 |
| NPI Number | 1518119114 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518119114 | NPI | - | NPPES |
| 0015654460023 | Medicaid | PA | |
| 0202677 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Dr. J.l. Funkhouser Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 5th Ave, New Brighton, PA 15066 Phone: 724-846-5250 | |
Heritage Valley Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 3rd Avenue, New Brighton, PA 15066 Phone: 724-770-4050 Fax: 724-770-4051 |