Medical Group of Windber Inc.
Organization Active NPI Non-Pharmacy Dispensing Site · Windber, PA
NPI 1679897748 · NPPES record last updated Nov 18, 2016
Key facts
- NPI
- 1679897748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- MD021742E (PA)
- Legal business name
- MEDICAL GROUP OF WINDBER INC.
- Practice address
- 500 Somerset Street
Windber, PA 15963 - Phone
- (814) 467-3400
- NPI assigned
- Mar 18, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX, INC.
Authorized official
- Name
- Scott Peterson
- Title
- Cfo
- Phone
- (858) 625-2990
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Medical Group of Windber - Richland
- Part of
- Tri - State Medical Group Inc
Locations
500 Somerset Ave
Windber, PA 15963
Phone (814) 467-1640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD021742E | PA | Yes |
Addresses
Primary practice location
500 Somerset Street
Windber, PA 15963
Mailing address
9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701
Other providers in Windber, PA
- Juan B Mari Mayans
- Martella'S Pharmacy of Windber, LLC
- Martella'S Pharmacy of Windber, LLC
- Lindsay Jane Mastrine
- Chantel Maxwell
- Frank Mele
- Amy Miller
- Taylor Marie Miller
- Moleculardx, LLC
- Steven Michael Muha
All providers in Windber, 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 Nov 18, 2016. 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.