Family Medical Care of Lawrence County
Organization Active NPI Non-Pharmacy Dispensing Site · New Wilmington, PA
NPI 1063554699 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1063554699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- MD426144 (PA)
- Legal business name
- FAMILY MEDICAL CARE OF LAWRENCE COUNTY
- Practice address
- 1995 Mercer New Wilmington Rd
New Wilmington, PA 16142-2021 - Phone
- (724) 946-3564
- NPI assigned
- Feb 12, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX, INC.
Authorized official
- Name
- Kenny Heine
- Title
- Director of Operations
- Phone
- (858) 625-2990
Corporate family (same tax ID) 2
Practitioners 13
-
Hilary Ann Bluedorn, CRNP
-
Kimberly Gasser, CRNP
-
Emma Sophia Gruver, PA-C
-
Natalie Imes, PA-C
-
Margaret J. Kaufman, CRNP
-
Linda Grace McCracken, PA-C
-
Kelsey Dawn Puskar, PA-C
-
Amy Smith, PA-C
-
Mary Tanyel, MD
-
Amanda Lummay Thompson, CRNP
National Provider Directory
- Tax ID family
- Family Medical Care
- Part of
- Tri - State Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD426144 | PA | Yes |
Addresses
Primary practice location
1995 Mercer New Wilmington Rd
New Wilmington, PA 16142-2021
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other providers in New Wilmington, PA
- Renay Lette Crouse
- Margaret G Delposen I
- Drivere Chiropractic & Wellness P.C.
- Jason David Drivere
- Rachael Dunahoo
- Family Medical Care of Lawrence County, Inc
- Family Medical Care of Lawrence County, Inc
- Jamie Marie Faraone
- Ryan Flores
- Christina Marie Fortini
All providers in New Wilmington, PA · Non-Pharmacy Dispensing Site in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.