Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broad Street Family Health Center

Organization Non-Pharmacy Dispensing Site · NPI 1417105347

Broad Street Family Health Center is a Non-Pharmacy Dispensing Site in Marysville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008

Practice location Address checks out

211 Broad St
Marysville, PA 17053-1302
Phone: (717) 957-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence OS010593L (PA)

Record details

NPI number1417105347
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Spsi - Broad Street Family Health Center
NPI enumeratedSeptember 4, 2008
Last updated in NPPESDecember 17, 2015
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701