CHESTNUT RIDGE FAMILY MEDICINE - UPMC
NPI 1104081785
Non-Pharmacy Dispensing Site in Fishertown, PA
About Chestnut Ridge Family Medicine - Upmc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHESTNUT RIDGE FAMILY MEDICINE - UPMC (NPI 1104081785) is a healthcare organization registered as a non-pharmacy dispensing site in Fishertown, Pennsylvania and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Kenny Heine, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D0180528
Chestnut Ridge Family Med Upmc · Fishertown, PAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Upmc Community Medicine, Inc.'s NPI number?
The NPI number for Upmc Community Medicine, Inc. is 1104081785. It was assigned to this organization in the NPPES registry on July 23, 2008. The provider is doing business as Chestnut Ridge Family Medicine - Upmc.
Where is Upmc Community Medicine, Inc. located?
Upmc Community Medicine, Inc. is located at 2040 Quaker Valley Rd, Fishertown, PA 15539. The listed phone number is (814) 839-4152.
What is Upmc Community Medicine, Inc.'s specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
Does Upmc Community Medicine, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0180528) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Upmc Community Medicine, Inc. accept?
Health plans from Sanford Health Plan list Upmc Community Medicine, Inc. 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 Upmc Community Medicine, Inc. was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chestnut Ridge Family Medicine - Upmc · NPI 1104081785
Non-Pharmacy Dispensing Site organization in Fishertown, Pennsylvania. Organization record, active in the CMS NPPES registry since July 23, 2008.
## Identity
- **NPI:** 1104081785 (Entity type: Organization)
- **Enumerated:** July 23, 2008
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Legal business name:** Upmc Community Medicine, Inc.
- **Organization subpart:** Yes (part of Medvantx, Inc.)
- **Authorized official:** Kenny Heine, VP OF OPERATIONS
## Practice location
- **Address:** 2040 QUAKER VALLEY RD, Fishertown, PA 15539-9723
- **Phone:** (814) 839-4152
## Record status
- **NPPES last updated:** May 7, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104081785) · Data from the CMS NPPES public registry.