| Heritage Valley Medical Group, Inc. | |
|
701 5th St Beaver PA 15009-1964 | |
| (724) 774-0232 | |
| Not Available |
| Full Name | Heritage Valley Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 5th St, Beaver, Pennsylvania |
| Authorized Official Name and Position | Norman 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. 701 5th St Beaver PA 15009-1964 Ph: (724) 774-0232 | Heritage Valley Medical Group, Inc. 701 5th St Beaver PA 15009-1964 Ph: (724) 774-0232 |
| NPI Number | 1639321235 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 06/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639321235 | NPI | - | NPPES |
| 0015654460023 | Medicaid | PA | |
| 0202677 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Tri-state Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 274 3rd St, Suite 100, Beaver, PA 15009 Phone: 724-774-2942 Fax: 724-774-2942 | |
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Association Of Specialty Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 Beaner Hollow Rd, Beaver, PA 15009 Phone: 724-775-4242 Fax: 724-775-4960 |