OrganizationActive
Tri - State Medical Group, Inc.
NPI 1760524755 · Non-Pharmacy Dispensing Site · Beaver, PA
Tri - State Medical Group, Inc. is a Non-Pharmacy Dispensing Site organization in Beaver, PA (NPI 1760524755).
Provider details
- NPI number
- 1760524755
- 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
- OS003758L (PA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
500 Sharon Rd
Beaver, PA 15009-1957
Phone: (724) 728-4633
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2012-10-17
Frequently asked questions
- What is Tri - State Medical Group, Inc.'s NPI number?
- Tri - State Medical Group, Inc.'s National Provider Identifier (NPI) is 1760524755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri - State Medical Group, Inc.?
- Tri - State Medical Group, Inc. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Tri - State Medical Group, Inc. located?
- Tri - State Medical Group, Inc.'s practice location on file with NPPES is 500 Sharon Rd, Beaver, PA 15009-1957.
- What is Tri - State Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tri - State Medical Group, Inc. is (724) 728-4633.
- Who is the authorized official for Tri - State Medical Group, Inc.?
- The authorized official listed on Tri - State Medical Group, Inc.'s NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri - State Medical Group, Inc.'s NPI active?
- Yes — Tri - State Medical Group, Inc.'s NPI (1760524755) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.