OrganizationActive
High Mountain Health
NPI 1386967958 · Non-Pharmacy Dispensing Site · Wayne, NJ
Provider details
- NPI number
- 1386967958
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Sr. Director of Operations(858) 625-2990
- License
- 25MB06276700 (NJ)
Specialties & taxonomies
Suppliers
Practice location
246 Hamburg Tpke
Suite 205
Wayne, NJ 07470-2156
Phone: (973) 389-1800
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2010-03-10
- 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.