OrganizationActive
Mainline Medical Associates, Inc.
NPI 1205977642 · Non-Pharmacy Dispensing Site · Cresson, PA
Mainline Medical Associates, Inc. is a Non-Pharmacy Dispensing Site organization in Cresson, PA (NPI 1205977642).
Provider details
- NPI number
- 1205977642
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Dir. of Operations(858) 625-2990
- License
- MD023791E (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
792 Gallitzin Rd
Cresson, PA 16630-2213
Phone: (814) 886-8161
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2012-10-17
Frequently asked questions
- What is Mainline Medical Associates, Inc.'s NPI number?
- Mainline Medical Associates, Inc.'s National Provider Identifier (NPI) is 1205977642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mainline Medical Associates, Inc.?
- Mainline Medical Associates, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Mainline Medical Associates, Inc. located?
- Mainline Medical Associates, Inc.'s practice location on file with NPPES is 792 Gallitzin Rd, Cresson, PA 16630-2213.
- What is Mainline Medical Associates, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mainline Medical Associates, Inc. is (814) 886-8161.
- Who is the authorized official for Mainline Medical Associates, Inc.?
- The authorized official listed on Mainline Medical Associates, Inc.'s NPPES record is Kenny Heine, Dir. of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mainline Medical Associates, Inc.'s NPI active?
- Yes — Mainline Medical Associates, Inc.'s NPI (1205977642) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.