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Fayette Physician Network Inc

Non-Pharmacy Dispensing Site in Masontown, PA · enumerated 2015 · authorized official Kenny Heine, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053704429

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Registry record

Entity type Organization (Type 2)
Legal business name Fayette Physician Network Inc
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 2175 Mcclellandtown Rd, Masontown, PA, 15461
Phone (724) 583-2819
Enumeration date Mar 10, 2015
Last updated in NPPES Mar 10, 2015

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License MD417327 (PA) Primary

Authorized official

Name Kenny Heine
Title Vp of Operations
Phone (858) 964-1506

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fayette Physician Network Inc?
NPPES lists Kenny Heine (Vp of Operations) as the authorized official for this organization.
What is the NPI number for Fayette Physician Network Inc?
The NPI for Fayette Physician Network Inc is 1053704429, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-10.