Organization · NPI-2

Conemaugh Health Initiatives

Family Medicine · Cresson, PA

NPI number1376613489
StatusActive
Last updated in NPPESApr 7, 2008

Details

NPI
1376613489
Entity type
Organization (NPI-2)
Legal business name
Conemaugh Health Initiatives
Organization subpart
No
Enumeration date
Nov 8, 2006
Last updated
Apr 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD013554EPAYes

Practice location

225 Keystone Ave
Cresson, PA 16630-1214

Phone 814-886-4635 · Fax 814-886-5470

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305

Phone 814-410-8300 · Fax 814-410-8331

Authorized official

Elaine M Lambert
President
8145341630

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