Heritage Valley Family Practice Grieco

LBN: Tri-State Medical Group, Inc.
Heritage Valley Family Practice Grieco is an health care organization with primary practice located at 2620 Constitution Blvd Lower Level, Beaver Falls PA 15010-1278. 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) 775-6500, or through Mitry, Norman F. via phone (724) 773-4776.

Contact Information

Primary practice address
2620 Constitution Blvd Lower Level Beaver Falls PA 15010-1278
Phone: (724) 775-6500
Fax:
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

Profile Details

NPI number 1619116738
LBN Legal business name Tri-State Medical Group, Inc.
DBA Doing business as Heritage Valley Family Practice Grieco
Authorized official Mitry, Norman F.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2009
Last updated Feb 12th, 2009 - about 17 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 1619116738 NPPES
Pennsylvania MEDICAID 0015654460023

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