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HERITAGE VALLEY MEDICAL GROUP - PRIMARY CARE CENTER
NPI 1205183639
Non-Pharmacy Dispensing Site in Monaca, PA

Active since August 03, 2012CLIA 39D0175472 · Waiver
3468 BRODHEAD RD, MONACA, PA 15061(724) 857-0591 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Heritage Valley Medical Group - Primary Care Center NPPES

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

HERITAGE VALLEY MEDICAL GROUP - PRIMARY CARE CENTER (NPI 1205183639) is a healthcare organization registered as a non-pharmacy dispensing site in Monaca, Pennsylvania and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Kenny Heine, Vp Ops, as its authorized official.

NPPES Registry Identity

NPI1205183639
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameHERITAGE VALLEY HEALTH SYSTEM - TRISTATE MEDICAL
Location Address3468 BRODHEAD RDMonaca, PA 15061-3149
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(724) 857-0591
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Ops · (858) 964-1508
Enumeration DateAugust 3, 2012
Last NPPES UpdateOctober 25, 2012
✔ NPI 1205183639 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 · OS013323
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.)
3468 BRODHEAD RD, Monaca, PA 15061
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Other Names 1

Doing Business AsHeritage Valley Medical Group - Primary Care Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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 39D0175472

Heritage Valley Medical Group Inc · Monaca, PA
Active · expires Aug 31, 2028
CLIA Number39D0175472
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorGregg S. Zernich Do
Laboratory Phone(412) 775-5833
Laboratory LocationHeritage Valley Medical Group Inc79 Wagner Road, Suite 202, Monaca, PA 15061
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

BEAVER COUNTY SPINAL DISC CENTER
Durable Medical Equipment & Medical Supplies
3468 BRODHEAD RD, SUITE #10
MONACA, PA 15061
Beaver County (724) 774-5463
OPEN MRI OF BEAVER VALLEY, LTD
Specialist
3468 BRODHEAD RD
MONACA, PA 15061
Beaver County (724) 728-2991
TRI-STATE MEDICAL GROUP, INC.
Family Medicine
3468 BRODHEAD RD
MONACA, PA 15061
Beaver County (724) 857-0591
DR. RICHARD A BUDNEY JR. PT
Physical Medicine & Rehabilitation
3468 BRODHEAD RD
MONACA, PA 15061
Beaver County (304) 919-0859
BALITSKI VISION PC
Optometrist
3468 BRODHEAD RD, SUITE ONE
MONACA, PA 15061
Beaver County (724) 775-2021

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 Heritage Valley Health System - Tristate Medical's NPI number?

The NPI number for Heritage Valley Health System - Tristate Medical is 1205183639. It was assigned to this organization in the NPPES registry on August 3, 2012. The provider is doing business as Heritage Valley Medical Group - Primary Care Center.

Where is Heritage Valley Health System - Tristate Medical located?

Heritage Valley Health System - Tristate Medical is located at 3468 Brodhead Rd, Monaca, PA 15061. The listed phone number is (724) 857-0591.

What is Heritage Valley Health System - Tristate Medical's specialty?

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

Does Heritage Valley Health System - Tristate Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0175472) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heritage Valley Health System - Tristate Medical accept?

Health plans from Sanford Health Plan list Heritage Valley Health System - Tristate Medical 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 Heritage Valley Health System - Tristate Medical was last updated on October 25, 2012. 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.