OrganizationActive
Prime Medical Group
NPI 1639490790 · Non-Pharmacy Dispensing Site · Clairton, PA
Prime Medical Group is a Non-Pharmacy Dispensing Site organization in Clairton, PA (NPI 1639490790).
Provider details
- NPI number
- 1639490790
- 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
- OS015942 (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Brooks Ln
110
Clairton, PA 15025-3747
Phone: (412) 466-5502
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Prime Medical Group - Jefferson
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2013-07-01
Frequently asked questions
- What is Prime Medical Group's NPI number?
- Prime Medical Group's National Provider Identifier (NPI) is 1639490790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Medical Group?
- Prime Medical Group is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Prime Medical Group located?
- Prime Medical Group's practice location on file with NPPES is 1200 Brooks Ln, Clairton, PA 15025-3747.
- What is Prime Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Prime Medical Group is (412) 466-5502.
- Who is the authorized official for Prime Medical Group?
- The authorized official listed on Prime Medical Group's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Medical Group's NPI active?
- Yes — Prime Medical Group's NPI (1639490790) is active in the NPPES registry as of the last update on 2013-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.