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EXCELA CHESTNUT RIDGE BLAIRSVILLE
NPI 1093952251
Non-Pharmacy Dispensing Site in Blairsville, PA

Active since January 09, 2009
56 CLUB LN, SUITE 203, BLAIRSVILLE, PA 15717(724) 459-7338 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Excela Chestnut Ridge Blairsville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCELA CHESTNUT RIDGE BLAIRSVILLE (NPI 1093952251) is a healthcare organization registered as a non-pharmacy dispensing site in Blairsville, Pennsylvania and active in the NPI registry since January 2009. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1093952251
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEHPP CHESTNUT RIDGE LLC
Location Address56 CLUB LN, SUITE 203Blairsville, PA 15717-7957
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(724) 459-7338
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateJanuary 9, 2009
Last NPPES UpdateJuly 8, 2015
✔ NPI 1093952251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in PA · MD026304E
Definition
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.)
56 CLUB LN, Blairsville, PA 15717
Open in Google Maps ↗

Other Names 1

Doing Business AsExcela Chestnut Ridge Blairsville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATROBE AREA HOSPITAL, INC.
Family Medicine
56 CLUB LN, STE 102
BLAIRSVILLE, PA 15717
Indiana County (724) 459-5203
MRS. CASSIE A MORRIS FNP-C
Nurse Practitioner (Family)
56 CLUB LN
BLAIRSVILLE, PA 15717
Indiana County (724) 459-6560
CHILDREN'S COMMUNITY CARE
Pediatrics
56 CLUB LN
BLAIRSVILLE, PA 15717
Indiana County (724) 459-6560
JAMES DAVID BRESNAHAN PA-C
Physician Assistant
56 CLUB LN
BLAIRSVILLE, PA 15717
Indiana County (724) 537-4321
JOHN T SANTARLAS MD
Family Medicine
56 CLUB LN
BLAIRSVILLE, PA 15717
Indiana County (724) 459-5203
BERNARD C SCHERER MD
Family Medicine
56 CLUB LN, SUITE 203
BLAIRSVILLE, PA 15717
Indiana County (724) 459-7338
CAROLYN F PALAIKA CRNP
Nurse Practitioner (Family)
56 CLUB LN
BLAIRSVILLE, PA 15717
Indiana County (724) 459-5203
THOMAS GESSNER MD
Pediatrics
56 CLUB LN
BLAIRSVILLE, PA 15717
Indiana County (724) 459-6560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ehpp Chestnut Ridge LLC's NPI number?

The NPI number for Ehpp Chestnut Ridge LLC is 1093952251. It was assigned to this organization in the NPPES registry on January 9, 2009. The provider is doing business as Excela Chestnut Ridge Blairsville.

Where is Ehpp Chestnut Ridge LLC located?

Ehpp Chestnut Ridge LLC is located at 56 Club Ln Suite 203, Blairsville, PA 15717. The listed phone number is (724) 459-7338.

What is Ehpp Chestnut Ridge LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Ehpp Chestnut Ridge LLC accept?

Health plans from Sanford Health Plan list Ehpp Chestnut Ridge LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ehpp Chestnut Ridge LLC was last updated on July 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.