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MAINLINE MEDICAL ASSOCIATES, INC.
NPI 1205977642
Non-Pharmacy Dispensing Site in Cresson, PA

Active since February 09, 2007CLIA 39D0184626 · Waiver
792 GALLITZIN RD, CRESSON, PA 16630(814) 886-8161 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mainline Medical Associates, Inc. NPPES

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

MAINLINE MEDICAL ASSOCIATES, INC. (NPI 1205977642) is a healthcare organization registered as a non-pharmacy dispensing site in Cresson, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Kenny Heine, Dir. Of Operations, as its authorized official.

NPPES Registry Identity

NPI1205977642
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMAINLINE MEDICAL ASSOCIATES, INC.
Location Address792 GALLITZIN RDCresson, PA 16630-2213
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990 · Fax (858) 625-2999
Phone(814) 886-8161
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDir. Of Operations · (858) 625-2990
Enumeration DateFebruary 9, 2007
Last NPPES UpdateOctober 17, 2012
✔ NPI 1205977642 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 · MD023791E
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.)
792 GALLITZIN RD, Cresson, PA 16630
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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 39D0184626

Mainline Medical Center · Cresson, PA
Active · expires Jul 31, 2027
CLIA Number39D0184626
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorDr. Penne H. Edgell
Laboratory Phone(814) 886-8161
Laboratory LocationMainline Medical Center792 Gallitzin Road, Cresson, PA 16630
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

TONY DRUMMOND
Physician Assistant
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
BILLIE LYNN LEWIS PA-C
Physician Assistant (Medical)
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
CHRISTOPHER AARON
Family Medicine
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
DANETTE GEORGE
Physician Assistant (Medical)
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
LIVA R MARASCO PA-C
Physician Assistant
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
DAWN REPKO
Family Medicine
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
MITCHELL JOSEPH
Family Medicine
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161
BRYAN HUMMEL PA-C
Physician Assistant
792 GALLITZIN RD
CRESSON, PA 16630
Cambria County (814) 886-8161

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 Mainline Medical Associates, Inc.'s NPI number?

The NPI number for Mainline Medical Associates, Inc. is 1205977642. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Mainline Medical Associates, Inc. located?

Mainline Medical Associates, Inc. is located at 792 Gallitzin Rd, Cresson, PA 16630. The listed phone number is (814) 886-8161.

What is Mainline Medical Associates, Inc.'s specialty?

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

Does Mainline Medical Associates, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0184626) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mainline Medical Associates, Inc. accept?

Health plans from Sanford Health Plan list Mainline Medical Associates, 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 Mainline Medical Associates, Inc. was last updated on October 17, 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.