KISKI VALLEY COMMUNITY MEDICINE
NPI 1417274473
Non-Pharmacy Dispensing Site in Apollo, PA

Active since April 29, 2010CLIA 39D0909157 · Waiver
310 S 2ND ST, APOLLO, PA 15613(724) 478-2999 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kiski Valley Community Medicine NPPES

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

KISKI VALLEY COMMUNITY MEDICINE (NPI 1417274473) is a healthcare organization registered as a non-pharmacy dispensing site in Apollo, Pennsylvania and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Kenny Heine, Sr. Director Operations, as its authorized official.

NPPES Registry Identity

NPI1417274473
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameKISKI VALLEY COMMUNITY MEDICINE
Location Address310 S 2ND STApollo, PA 15613-1150
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineSr. Director Operations · (858) 625-2990
Enumeration DateApril 29, 2010
Last NPPES UpdateOctober 23, 2012
NPI 1417274473 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 · OS008135
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.)
310 S 2ND ST, Apollo, PA 15613

Accepted 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 39D0909157

Kiski Valley Community Medicine PC · Apollo, PA
Active · expires Nov 27, 2027
CLIA Number39D0909157
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorDaniel J. Kupas Do
Laboratory Phone(412) 478-2999
Laboratory LocationKiski Valley Community Medicine PC310 South Second Street, Apollo, PA 15613
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 2

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

Family Medicine
310 S 2ND ST
APOLLO, PA 15613
Family Medicine
310 S 2ND ST
APOLLO, PA 15613

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 Kiski Valley Community Medicine's NPI number?

The NPI number for Kiski Valley Community Medicine is 1417274473. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is Kiski Valley Community Medicine located?

Kiski Valley Community Medicine is located at 310 S 2nd St, Apollo, PA 15613. The listed phone number is (724) 478-2999.

What is Kiski Valley Community Medicine's specialty?

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

Does Kiski Valley Community Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0909157) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kiski Valley Community Medicine accept?

Health plans from Sanford Health Plan list Kiski Valley Community Medicine 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 Kiski Valley Community Medicine was last updated on October 23, 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.