West Newton Family Practice

Organization Active NPI Non-Pharmacy Dispensing Site · Belle Vernon, PA

NPI 1811275258 · NPPES record last updated Oct 23, 2012

Key facts

NPI
1811275258
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
License
OS010190L (PA)
Legal business name
WEST NEWTON FAMILY PRACTICE
Practice address
800 Plaza Dr
290
Belle Vernon, PA 15012-4019
Phone
(724) 379-5735
NPI assigned
Aug 3, 2011
Organization subpart
Yes
Parent organization (as reported)
MEDVANTX, INC.

Authorized official

Name
Kenny Heine
Title
Sr Director Ops
Phone
(858) 625-2990

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Tri - State Medical Group Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X OS010190L PA Yes

Addresses

Primary practice location

800 Plaza Dr
290
Belle Vernon, PA 15012-4019

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other providers in Belle Vernon, PA

All providers in Belle Vernon, PA · Non-Pharmacy Dispensing Site in Pennsylvania

Sources for this page

Verify at the official NPI Registry.