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PERRYO MEDICAL CENTER, PC
NPI 1255654075
Non-Pharmacy Dispensing Site in Perryopolis, PA

Active since March 08, 2010CLIA 39D0950485 · Waiver
405 LIBERTY STREET, PERRYOPOLIS, PA 15473(724) 736-0443 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Perryo Medical Center, Pc NPPES

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

PERRYO MEDICAL CENTER, PC (NPI 1255654075) is a healthcare organization registered as a non-pharmacy dispensing site in Perryopolis, Pennsylvania and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Kenny Heine, Sr. Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1255654075
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePERRYO MEDICAL CENTER, PC
Location Address405 LIBERTY STREETPerryopolis, PA 15473
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(724) 736-0443
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr. Director Of Operations · (858) 625-2990
Enumeration DateMarch 8, 2010
Last NPPES UpdateOctober 23, 2012
✔ NPI 1255654075 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 · MD049150L
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.)
405 LIBERTY STREET, Perryopolis, PA 15473
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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 39D0950485

Perryo Medical Center · Perryopolis, PA
Active · expires Aug 25, 2026
CLIA Number39D0950485
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorSanat Shroff MD
Laboratory Phone(724) 736-0443
Laboratory LocationPerryo Medical Center405 Liberty Street PO Box 646, Perryopolis, PA 15473
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PERRYO MEDICAL CENTER, P C
Internal Medicine
405 LIBERTY STREET
PERRYOPOLIS, PA 15473
Fayette County (724) 736-0443

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 Perryo Medical Center, PC's NPI number?

The NPI number for Perryo Medical Center, PC is 1255654075. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is Perryo Medical Center, PC located?

Perryo Medical Center, PC is located at 405 Liberty Street, Perryopolis, PA 15473. The listed phone number is (724) 736-0443.

What is Perryo Medical Center, PC's specialty?

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

Does Perryo Medical Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0950485) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Perryo Medical Center, PC accept?

Health plans from Sanford Health Plan list Perryo Medical Center, PC 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 Perryo Medical Center, PC was last updated on October 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.