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FAYETTE PHYSICIAN NETWORK- BROWNSVILLE
NPI 1245623453
Non-Pharmacy Dispensing Site in Grindstone, PA

Active since March 12, 2015
111B ROBERTS RD, GRINDSTONE, PA 15442(724) 785-3187 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fayette Physician Network- Brownsville NPPES

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

FAYETTE PHYSICIAN NETWORK- BROWNSVILLE (NPI 1245623453) is a healthcare organization registered as a non-pharmacy dispensing site in Grindstone, Pennsylvania and active in the NPI registry since March 2015. The organization lists Kenny Heine, Vp Of Operation, as its authorized official.

NPPES Registry Identity

NPI1245623453
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAYETTE PHYSICIAN NETWORK INC
Location Address111B ROBERTS RDGrindstone, PA 15442-1105
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(724) 785-3187
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operation · (858) 964-1506
Enumeration DateMarch 12, 2015
✔ NPI 1245623453 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 · OS016147
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.)
111B ROBERTS RD, Grindstone, PA 15442
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Other Names 1

Doing Business AsFayette Physician Network- Brownsville

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 4

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

FAYETTE MEDICAL ASSOCIATES INC
Family Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2161
LINDA MARIE BURSTYNOWICZ M.D.
Internal Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2286
GILBERT B PEREZ M.D.
Family Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2286
FAYETTE PHYSICIAN NETWORK INC
Family Medicine
111B ROBERTS RD
GRINDSTONE, PA 15442
Fayette County (724) 785-2286

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 1245623453. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is doing business as Fayette Physician Network- Brownsville.

Where is Fayette Physician Network Inc located?

Fayette Physician Network Inc is located at 111B Roberts Rd, Grindstone, PA 15442. The listed phone number is (724) 785-3187.

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 with the weekly NPPES data releases published by CMS.