MEDICARE: HERITAGE VALLEY MULTISPECIALTY GROUP, INC.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	363AM0700X	Medical Physician Assistant
3	207Q00000X	Family Medicine Physician
4	363LF0000X	Family Nurse Practitioner
5	363L00000X	Nurse Practitioner
6	261QU0200X	Urgent Care Clinic/Center

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1700013976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE VALLEY MULTISPECIALTY GROUP, INC.

Provider Business Mailing Address
First Line	:	2 PEARTREE WAY
Second Line	:
City	:	BEAVER
State	:	PA
Zip	:	15009-1954
Country	:	US
Telephone Number	:	724-773-6802
Fax Number	:

Provider Business Practice Location Address
First Line	:	2580 CONSTITUTION BLVD
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-1294
Country	:	US
Telephone Number	:	724-770-7999
Fax Number	:	724-843-1514

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	NORMAN F. MITRY
Credential	:
Telephone Number	:	724-773-4776

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	12/08/2025

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax: