Heritage Valley Stephen Hagberg Md

LBN: Tri-State Medical Group, Inc
Heritage Valley Stephen Hagberg Md is an health care organization with primary practice located at 918 3Rd Ave , Beaver Falls PA 15010-4613. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as 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
Fax: (724) 770-7945
Website:
Authorized official contact:
Name: Mitry, Norman F.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD437163 Pennsylvania

Profile Details

NPI number 1396076881
LBN Legal business name Tri-State Medical Group, Inc
DBA Doing business as Heritage Valley Stephen Hagberg Md
Authorized official Mitry, Norman F.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2010
Last updated Jan 22nd, 2010 - 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 1396076881 NPPES
Pennsylvania MEDICAID 0015654460023

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