Heritage Valley Medical Group, Inc.

LBN: Heritage Valley Medical Group, Inc.
Heritage Valley Medical Group, Inc. is an health care organization with primary practice located at 79 Wagner Road Suite 103, Monaca PA 15061-2338. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Heritage Valley Medical Group, Inc. can be contacted via phone (878) 439-3598, or through Randall, Bryan J via phone (412) 749-7027.

Contact Information

Primary practice address
79 Wagner Road Suite 103 Monaca PA 15061-2338
Phone: (878) 439-3598
Fax: (878) 439-3599
Website:
Map and Directions
Authorized official contact:
Name: Randall, Bryan J
Phone: (412) 749-7027

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1407415987
LBN Legal business name Heritage Valley Medical Group, Inc.
DBA Doing business as
Authorized official Randall, Bryan J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407415987 NPPES
Pennsylvania MEDICAID 00156544

Popular Providers