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SPSI - BROAD STREET FAMILY HEALTH CENTER
NPI 1417105347
Non-Pharmacy Dispensing Site in Marysville, PA

Active since September 04, 2008
211 BROAD ST, MARYSVILLE, PA 17053(717) 957-3500 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spsi - Broad Street Family Health Center NPPES

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

SPSI - BROAD STREET FAMILY HEALTH CENTER (NPI 1417105347) is a healthcare organization registered as a non-pharmacy dispensing site in Marysville, Pennsylvania and active in the NPI registry since September 2008. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1417105347
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBROAD STREET FAMILY HEALTH CENTER
Location Address211 BROAD STMarysville, PA 17053-1302
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(717) 957-3500
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateSeptember 4, 2008
Last NPPES UpdateDecember 17, 2015
✔ NPI 1417105347 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 · OS010593L
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.)
211 BROAD ST, Marysville, PA 17053
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Other Names 1

Doing Business AsSpsi - Broad Street Family Health Center

Other Providers at the Same Location NPPES 6

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

DR. ROBERT PAUL MATSKO SR. D.O.
Family Medicine
211 BROAD ST
MARYSVILLE, PA 17053
Perry County (717) 957-3500
DR. MARTIN J WALL D.O.
Family Medicine
211 BROAD ST
MARYSVILLE, PA 17053
Perry County (717) 957-3500
SPIRIT PHYSICIAN SERVICES, INC
Family Medicine
211 BROAD ST
MARYSVILLE, PA 17053
Perry County (717) 957-3500
ALLISON RENEE BREDBENNER CRNP
Nurse Practitioner (Family)
211 BROAD ST
MARYSVILLE, PA 17053
Perry County (717) 957-3500
SPIRIT PHYSICIAN SERVICES, INC.
Nurse Practitioner
211 BROAD ST
MARYSVILLE, PA 17053
Perry County (717) 957-3500
KAITLYN HERR CRNP
Nurse Practitioner
211 BROAD ST
MARYSVILLE, PA 17053
Perry County (717) 957-3500

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 Broad Street Family Health Center's NPI number?

The NPI number for Broad Street Family Health Center is 1417105347. It was assigned to this organization in the NPPES registry on September 4, 2008. The provider is doing business as Spsi - Broad Street Family Health Center.

Where is Broad Street Family Health Center located?

Broad Street Family Health Center is located at 211 Broad St, Marysville, PA 17053. The listed phone number is (717) 957-3500.

What is Broad Street Family Health Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Broad Street Family Health Center was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.