OrganizationActive
Cumberland Family Practice ( a Division of Heritage Medical Group, LLP
NPI 1629268958 · Non-Pharmacy Dispensing Site · Enola, PA
Provider details
- NPI number
- 1629268958
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- MD042461L (PA)
Specialties & taxonomies
Suppliers
Practice location
4470 Valley St
Enola, PA 17025-1443
Phone: (717) 732-8883
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2014-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.