UPMC COMMUNITY MEDICINE NPI 1013316553

NPI Information

  • NPI: 1013316553
  • Provider Name: UPMC COMMUNITY MEDICINE
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • Doing Business As: LAKESIDE FAMILY MEDICINE CONNEAUT LAKE
  • Address: 11065 STATE HIGHWAY 18
    SUITE 1
    CONNEAUT LAKE, PA
    ZIP 16316
  • Phone: (814) 382-6550

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NPI Details

UPMC COMMUNITY MEDICINE is a non pharmacy dispensing site in Conneaut Lake, PA. The provider is 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.) UPMC COMMUNITY MEDICINE NPI is 1013316553. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Family Medicine Conneaut Lake.

The provider's business location address is:

11065 STATE HIGHWAY 18
SUITE 1
CONNEAUT LAKE, PA
ZIP 16316-569
Phone: (814) 382-6550

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteOS012755PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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