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Ehpp Chestnut Ridge LLC — NPI 1275770273, New Alexandria, PA | NPI Central

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NPI 1275770273

OrganizationActive

Ehpp Chestnut Ridge LLC

NPI 1275770273 · Non-Pharmacy Dispensing Site · New Alexandria, PA

Provider details

NPI number: 1275770273
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: MD023700 (PA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense MD023700 (PA)
Suppliers

Practice location

401 Main St

New Alexandria, PA 15670

Phone: (724) 668-7147

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Excela Chestnut Ridge New Alexandria

Registry dates

Enumerated: 2009-01-13
Last updated: 2012-10-23

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