TRI-STATE MEDICAL GROUP INC NPI 1396076881

NPI Information

  • NPI: 1396076881
  • Provider Name: TRI-STATE MEDICAL GROUP, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: HERITAGE VALLEY STEPHEN HAGBERG MD
  • Address: 918 3RD AVE
    BEAVER FALLS, PA
    ZIP 15010
  • Phone: (724) 773-8895

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NPI Details

TRI-STATE MEDICAL GROUP, INC is a family medicine in Beaver Falls, 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. TRI-STATE MEDICAL GROUP, INC NPI is 1396076881. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heritage Valley Stephen Hagberg Md.

The provider's business location address is:

918 3RD AVE
BEAVER FALLS, PA
ZIP 15010-613
Phone: (724) 773-8895
Fax: (724) 770-7945

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 enumeration date for this NPI number is 1/22/2010 and was last updated on 1/22/2010.

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 MedicineMD437163PENNSYLVANIAYes

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
10015654460023MEDICAIDPENNSYLVANIA
2807864MEDICARE PINPENNSYLVANIA

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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