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PRIME MEDICAL GROUP - JEFFERSON
NPI 1639490790
Non-Pharmacy Dispensing Site in Clairton, PA

Active since June 11, 2010
1200 BROOKS LN, 110, CLAIRTON, PA 15025(412) 466-5502 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prime Medical Group - Jefferson NPPES

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

PRIME MEDICAL GROUP - JEFFERSON (NPI 1639490790) is a healthcare organization registered as a non-pharmacy dispensing site in Clairton, Pennsylvania and active in the NPI registry since June 2010. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1639490790
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePRIME MEDICAL GROUP
Location Address1200 BROOKS LN, 110Clairton, PA 15025-3747
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(412) 466-5502
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateJune 11, 2010
Last NPPES UpdateJuly 1, 2013
✔ NPI 1639490790 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 · OS015942
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.)
1200 BROOKS LN, Clairton, PA 15025
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Other Names 1

Doing Business AsPrime Medical Group - Jefferson

Other Providers at the Same Location NPPES 20

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

DR. DAVID J. STAPOR M.D.
Orthopaedic Surgery
1200 BROOKS LN, SUITE 240
CLAIRTON, PA 15025
Allegheny County (412) 469-1660
SOUTH HILLS GASTROENTEROLOGY ASSOCIATES LLC
Internal Medicine (Gastroenterology)
1200 BROOKS LN, STE G10
CLAIRTON, PA 15025
Allegheny County (412) 469-5914
ALLISON MORGAN PA-C
Physician Assistant
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Allegheny County (412) 729-1500
LANA P BLINER NP-C
Nurse Practitioner
1200 BROOKS LN, SUITE NUMBER 285
CLAIRTON, PA 15025
Allegheny County (412) 449-6956
PAUL DAVID LAMAN JR. MD
Internal Medicine (Critical Care Medicine)
1200 BROOKS LN, SUITE 130
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-3600
DR. NUPUR DASHOTTAR M.D.
Family Medicine
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Allegheny County (412) 729-1500
KATIE F DIPASQUALE PA-C
Physician Assistant
1200 BROOKS LN, SUITE 290
JEFFERSON HILLS, PA 15025
Allegheny County (412) 729-1500
CENTER POINTE SLEEP ASSOCIATES, LLC
Clinic/Center (Sleep Disorder Diagnostic)
1200 BROOKS LN, SUITE 140
JEFFERSON HILLS, PA 15025
Allegheny County (724) 941-6595

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 Prime Medical Group's NPI number?

The NPI number for Prime Medical Group is 1639490790. It was assigned to this organization in the NPPES registry on June 11, 2010. The provider is doing business as Prime Medical Group - Jefferson.

Where is Prime Medical Group located?

Prime Medical Group is located at 1200 Brooks Ln 110, Clairton, PA 15025. The listed phone number is (412) 466-5502.

What is Prime Medical Group'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 Prime Medical Group was last updated on July 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.