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TRI - STATE MEDICAL GROUP INC. NPI 1780726620


NPI Information

NPI: 1780726620
Provider Name: TRI - STATE MEDICAL GROUP, INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
2620 CONSTITUTION BLVD
BEAVER FALLS, PA
ZIP 15010
Phone: (724) 843-4755
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TRI - STATE MEDICAL GROUP, INC. is a non pharmacy dispensing site in Beaver Falls, 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.) TRI - STATE MEDICAL GROUP, INC. NPI is 1780726620. The provider is registered as an organization entity type.

The provider's business location address is:

2620 CONSTITUTION BLVD
BEAVER FALLS, PA
ZIP 15010-278
Phone: (724) 843-4755

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

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteOS007674LPENNSYLVANIAYes

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: 4/28/2024

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