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
Suppliers
Practice location
401 Main St
New Alexandria, PA 15670
Phone: (724) 668-7147
Approximate (ZIP-level) locationGet directions
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.