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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: July 19, 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
Phone(724) 478-2999
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
Open in Google Maps ↗

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 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.

DR. DANIEL J KUPAS D.O.
Family Medicine
310 S 2ND ST
APOLLO, PA 15613
Armstrong County (724) 478-2999
KISKI VALLEY COMMUNITY MEDICINE, PC
Family Medicine
310 S 2ND ST
APOLLO, PA 15613
Armstrong County (724) 478-2999

Frequently Asked Questions

What is KISKI VALLEY COMMUNITY MEDICINE's NPI number?

The NPI number assigned to this healthcare provider is 1417274473, enumerated as an "organization" on April 29, 2010.

Where is the provider located?

The provider is located at 310 S 2ND ST APOLLO, PA 15613 and the phone number is (724) 478-2999.

What is the provider's specialty?

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does KISKI VALLEY COMMUNITY MEDICINE accept?

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.