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

Prime Medical Group

Organization Non-Pharmacy Dispensing Site · NPI 1639490790

Prime Medical Group is a Non-Pharmacy Dispensing Site in Clairton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2010.

Licensed in
PA
In the registry since
2010

Practice location Address checks out

1200 Brooks Ln 110
Clairton, PA 15025-3747
Phone: (412) 466-5502
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 OS015942 (PA)

Record details

NPI number1639490790
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Prime Medical Group - Jefferson
NPI enumeratedJune 11, 2010
Last updated in NPPESJuly 1, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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