Blair Medical Associates - Bellwood
Organization Active NPI Non-Pharmacy Dispensing Site · Bellwood, PA
NPI 1407061898 · NPPES record last updated Oct 22, 2012
Key facts
- NPI
- 1407061898
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- MD049699L (PA)
- Legal business name
- BLAIR MEDICAL ASSOCIATES - BELLWOOD
- Practice address
- 503 Main St
Bellwood, PA 16617-1909 - Phone
- (814) 742-7001
- NPI assigned
- May 11, 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) 29
National Provider Directory
- Tax ID family
- Blair Med Assoc Pat
- Part of
- Tri - State Medical Group Inc
Locations
503 Main St
Bellwood, PA 16617
Phone (814) 742-7001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD049699L | PA | Yes |
Addresses
Primary practice location
503 Main St
Bellwood, PA 16617-1909
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other providers in Bellwood, PA
- Linda Sue Bartley
- Daniel Beers
- Bellwood Ambulance Assoc
- Bellwood-Antis School District
- Blair Medical Associates
- Vincent Felli
- Kendra George
- H & O Management, Inc
- Aaron Robin Harchak
- Corey Miller
All providers in Bellwood, 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 22, 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.