OrganizationActive
Blair Medical Associates - Bellwood
NPI 1407061898 · Non-Pharmacy Dispensing Site · Bellwood, PA
Provider details
- NPI number
- 1407061898
- 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
- MD049699L (PA)
Specialties & taxonomies
Suppliers
Practice location
503 Main St
Bellwood, PA 16617-1909
Phone: (814) 742-7001
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2012-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.