| Tri-state Medical Group, Inc. | |
|
100 Chippewa Town Ctr. Heritage Valley Convenient Care-beaver Falls Beaver Falls PA 15010 | |
| (724) 774-2942 | |
| (724) 774-5175 |
| Full Name | Tri-state Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Chippewa Town Ctr., 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. 1000 Dutch Ridge Road C-4 Heritage Valley Beaver Credentialing Beaver PA 15009 Ph: (724) 773-4776 | Tri-state Medical Group, Inc. 100 Chippewa Town Ctr. Heritage Valley Convenient Care-beaver Falls Beaver Falls PA 15010 Ph: (724) 774-2942 |
| NPI Number | 1215164488 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 06/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215164488 | NPI | - | NPPES |
| 0014950830029 | Medicaid | PA | |
| 1007289980010 | Medicaid | PA | |
| 0015654460023 | Medicaid | PA |
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