HERITAGE VALLEY MEDICAL GROUP INC NPI 1083866685

NPI Information

  • NPI: 1083866685
  • Provider Name: HERITAGE VALLEY MEDICAL GROUP, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: HVMG MARY ANN DIBIAGIO D.O.
  • CLIA Number: 39D2050528
  • Address: 1673 STATE RT 65
    ELLWOOD CITY, PA
    ZIP 16117
  • Phone: (724) 758-7559

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NPI Details

HERITAGE VALLEY MEDICAL GROUP, INC is a family medicine in Ellwood City, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HERITAGE VALLEY MEDICAL GROUP, INC NPI is 1083866685. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hvmg Mary Ann Dibiagio D.o..

The provider's business location address is:

1673 STATE RT 65
ELLWOOD CITY, PA
ZIP 16117
Phone: (724) 758-7559

The provider's authorized official is Norman F. Mitry .
The authorized official title is President & Ceo and has the following contact phone number (724) 773-4776.

The CLIA number assigned to this NPI record is 39D2050528 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 6/29/2012.

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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10202677MEDICAIDOHIO
2807864MEDICARE PINPENNSYLVANIA
30015654460023MEDICAIDPENNSYLVANIA

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: 3/30/2025

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