| NPI | 1700013976 |
|---|---|
| Doing Business As | HERITAGE VALLEY CONVENIENT CARE |
| Former Legal Business Name | TRI STATE MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | NORMAN F. MITRY President & CEO 724-773-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2022-06-08 |