Penncare-Pennsylvania Hospitalist Associates
Organization Active NPI Non-Pharmacy Dispensing Site · West Chester, PA
NPI 1215079090 · NPPES record last updated Oct 17, 2012
Key facts
- NPI
- 1215079090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- OS004486L (PA)
- Legal business name
- PENNCARE-PENNSYLVANIA HOSPITALIST ASSOCIATES
- Practice address
- 1055 Andrew Dr
B
West Chester, PA 19380-4293 - Phone
- (610) 436-4448
- 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) 12
National Provider Directory
- Tax ID family
- Penncare-Pennsylvania Hospitalist Associates
- Part of
- Tri - State Medical Group Inc
Locations
1055 Andrew Dr
Ste B
West Chester, PA 19380
Phone (610) 436-4448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | OS004486L | PA | Yes |
Addresses
Primary practice location
1055 Andrew Dr
B
West Chester, PA 19380-4293
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other providers in West Chester, PA
- Catherine E Pelletier-Dattu
- Elizabeth Pender
- Valerie Brown Penders
- Jeffrey Penfil
- Aja Penn
- Neil Pennington
- Pennsylvania CVS Pharmacy LLC
- Pennsylvania CVS Pharmacy LLC
- Pennsylvania CVS Pharmacy, L.L.C.
- Pennsylvania CVS Pharmacy, L.L.C.
All providers in West Chester, 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 Oct 17, 2012. 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.