| Heritage Valley Medical Group, Inc | |
|
300 Penn Lincoln Dr Imperial PA 15126-9772 | |
| (724) 695-2411 | |
| Not Available |
| Full Name | Heritage Valley Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Penn Lincoln Dr, Imperial, 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 300 Penn Lincoln Dr Imperial PA 15126-9772 Ph: (724) 695-2411 | Heritage Valley Medical Group, Inc 300 Penn Lincoln Dr Imperial PA 15126-9772 Ph: (724) 695-2411 |
| NPI Number | 1285886861 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285886861 | NPI | - | NPPES |
| 0014950830029 | Medicaid | PA | |
| 2297465 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |