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FAYETTE PHYSICIAN NETWORK- CONNELSVILLE
NPI 1154714368
Non-Pharmacy Dispensing Site in Connellsville, PA

Active since March 12, 2015
224 MEMORIAL BLVD, CONNELLSVILLE, PA 15425(724) 626-7335 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fayette Physician Network- Connelsville NPPES

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

FAYETTE PHYSICIAN NETWORK- CONNELSVILLE (NPI 1154714368) is a healthcare organization registered as a non-pharmacy dispensing site in Connellsville, Pennsylvania and active in the NPI registry since March 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1154714368
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAYETTE PHYSICIAN NETWORK INC
Location Address224 MEMORIAL BLVDConnellsville, PA 15425-2654
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(724) 626-7335
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMarch 12, 2015
✔ NPI 1154714368 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 · OS010452L
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.)
224 MEMORIAL BLVD, Connellsville, PA 15425
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Other Names 1

Doing Business AsFayette Physician Network- Connelsville

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

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

FAYETTE PHYSICIAN NETWORK INC
Family Medicine
224 MEMORIAL BLVD
CONNELLSVILLE, PA 15425
Fayette County (724) 626-7335

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 Fayette Physician Network Inc's NPI number?

The NPI number for Fayette Physician Network Inc is 1154714368. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is doing business as Fayette Physician Network- Connelsville.

Where is Fayette Physician Network Inc located?

Fayette Physician Network Inc is located at 224 Memorial Blvd, Connellsville, PA 15425. The listed phone number is (724) 626-7335.

What is Fayette Physician Network Inc's specialty?

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

What insurance does Fayette Physician Network Inc accept?

Health plans from Sanford Health Plan list Fayette Physician Network 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 Fayette Physician Network Inc was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.