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EHPP CHESTNUT RIDGE LLC NPI 1093952251


NPI Information

NPI: 1093952251
Provider Name: EHPP CHESTNUT RIDGE LLC

Doing Business As: EXCELA CHESTNUT RIDGE BLAIRSVILLE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
56 CLUB LN
SUITE 203
BLAIRSVILLE, PA
ZIP 15717
Phone: (724) 459-7338
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EHPP CHESTNUT RIDGE LLC is a non pharmacy dispensing site in Blairsville, 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.) EHPP CHESTNUT RIDGE LLC NPI is 1093952251. The provider is registered as an organization entity type.
The provider Is Doing Business As Excela Chestnut Ridge Blairsville.

The provider's business location address is:

56 CLUB LN
SUITE 203
BLAIRSVILLE, PA
ZIP 15717-957
Phone: (724) 459-7338

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 7/8/2015.


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 SiteMD026304EPENNSYLVANIAYes

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: 5/5/2024

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