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Ehpp Chestnut Ridge LLC — NPI 1033356290, Ligonier, PA | NPI Central

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NPI 1033356290

OrganizationActive

Ehpp Chestnut Ridge LLC

NPI 1033356290 · Non-Pharmacy Dispensing Site · Ligonier, PA

Provider details

NPI number: 1033356290
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Director of Operations(858) 625-2990
License: MD016675 (PA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense MD016675 (PA)
Suppliers

Practice location

117 W Wellington Aly

Ligonier, PA 15658-6201

Phone: (724) 238-6668

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

9276 Scranton Rd

San Diego, CA 92121-7701

Other names (DBA / former)

Doing business as: Excela Chestnut Ridge Ligonier

Registry dates

Enumerated: 2009-01-09
Last updated: 2016-07-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.