Tri-State Medical Group, Inc.

LBN: Tri-State Medical Group, Inc.
Tri-State Medical Group, Inc. is an health care organization with primary practice located at 100 Chippewa Town Ctr. Heritage Valley Convenient Care-Beaver Falls, Beaver Falls PA 15010. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Tri-State Medical Group, Inc. can be contacted via phone (724) 774-2942, or through Mitry, Norman F. via phone (724) 773-4776.

Contact Information

Primary practice address
100 Chippewa Town Ctr. Heritage Valley Convenient Care-Beaver Falls Beaver Falls PA 15010
Phone: (724) 774-2942
Fax: (724) 774-5175
Website:
Map and Directions
Authorized official contact:
Name: Mitry, Norman F.
Phone: (724) 773-4776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1215164488
LBN Legal business name Tri-State Medical Group, Inc.
DBA Doing business as
Authorized official Mitry, Norman F.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2009
Last updated Jun 18th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215164488 NPPES
Pennsylvania MEDICAID 0014950830029
Pennsylvania MEDICAID 1007289980010
Pennsylvania MEDICAID 0015654460023

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