Heritage Valley Nursing Practice

LBN: Tri State Medical Group, Inc
Heritage Valley Nursing Practice is an health care organization with primary practice located at 918 3Rd Ave , Beaver Falls PA 15010-4613. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Tri State Medical Group, Inc can be contacted via phone (724) 773-8895, or through Mitry, Norman F via phone (724) 773-4776.

Contact Information

Primary practice address
918 3Rd Ave Beaver Falls PA 15010-4613
Phone: (724) 773-8895
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitry, Norman F
Phone: (724) 773-4776

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X OS010098L Pennsylvania
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X OS010098L Pennsylvania

Profile Details

NPI number 1306084801
LBN Legal business name Tri State Medical Group, Inc
DBA Doing business as Heritage Valley Nursing Practice
Authorized official Mitry, Norman F
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2009
Last updated Jan 22nd, 2009 - about 16 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 1306084801 NPPES
Pennsylvania MEDICAID 0017867880011

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