Organization · Type 2 NPI

Medical Group of Windber Inc

Non-Pharmacy Dispensing Site · Johnstown, PA

NPI number 1760705669 Active

Practice location

1511 Scalp Ave
Johnstown, PA 15904-3315

Call (814) 269-3667 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	MD025803E (PA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4 other providers at this address

Other non-pharmacy dispensing site providers in Johnstown

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NPI record

NPI: 1760705669
Entity type: Organization (Type 2)
Issued: Mar 5, 2010
Last updated: Oct 23, 2012
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

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Medical Group of Windber - Richland · doing business as

Authorized official

Kenny Heine
Sr. Director of Operations
(858) 625-2990

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760705669

Medical Group of Windber Inc's National Provider Identifier is 1760705669, issued on Mar 5, 2010. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Johnstown, PA. The record was last updated on Oct 23, 2012.