Convenient Care Center-Beaver

LBN: Tri-State Medical Group, Inc
Convenient Care Center-Beaver is an health care organization with primary practice located at 274 3Rd St Suite 100, Beaver PA 15009-2333. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 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
274 3Rd St Suite 100 Beaver PA 15009-2333
Phone: (724) 774-2942
Fax: (724) 774-2942
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
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1508001538
LBN Legal business name Tri-State Medical Group, Inc
DBA Doing business as Convenient Care Center-Beaver
Authorized official Mitry, Norman F.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Dec 4th, 2008 - about 18 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 1508001538 NPPES
Pennsylvania MEDICAID 0015654460023
Pennsylvania MEDICAID 0015486320010
Pennsylvania MEDICAID 0202677
Pennsylvania MEDICAID 1007289980010

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