TRI - STATE MEDICAL GROUP, INC.
NPI 1720129943
Non-Pharmacy Dispensing Site in Midland, PA

Active since February 09, 2007

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri - State Medical Group, Inc. NPPES

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

TRI - STATE MEDICAL GROUP, INC. (NPI 1720129943) is a healthcare organization registered as a non-pharmacy dispensing site in Midland, Pennsylvania and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1720129943
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameTRI - STATE MEDICAL GROUP, INC.
Location Address21 7TH STMidland, PA 15059-1452
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 9, 2007
Last NPPES UpdateOctober 17, 2012
NPI 1720129943 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 · OS006001L
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.)
21 7TH ST, Midland, PA 15059

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.

Physician Assistant
21 7TH ST
MIDLAND, PA 15059
Family Medicine
21 7TH ST
MIDLAND, PA 15059

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 Tri - State Medical Group, Inc.'s NPI number?

The NPI number for Tri - State Medical Group, Inc. is 1720129943. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Tri - State Medical Group, Inc. located?

Tri - State Medical Group, Inc. is located at 21 7th St, Midland, PA 15059. The listed phone number is (724) 643-4852.

What is Tri - State Medical Group, Inc.'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 Tri - State Medical Group, Inc. was last updated on October 17, 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.