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

Ehpp Chestnut Ridge LLC

Organization Non-Pharmacy Dispensing Site · NPI 1093952251

Ehpp Chestnut Ridge LLC is a Non-Pharmacy Dispensing Site in Blairsville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 Club Ln Ste 203
Blairsville, PA 15717-7957
Phone: (724) 459-7338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence MD026304E (PA)

Record details

NPI number1093952251
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Excela Chestnut Ridge Blairsville
NPI enumeratedJanuary 9, 2009
Last updated in NPPESJuly 8, 2015
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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