Healthcare Provider Details

I. General information

NPI: 1689787020
Provider Name (Legal Business Name): CONEMAUGH HEALTH INITIATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4186 CORTLAND AVENUE
NEW PARIS PA
15554-7706
US

IV. Provider business mailing address

1086 FRANKLIN ST
JOHNSTOWN PA
15905-4305
US

V. Phone/Fax

Practice location:
  • Phone: 814-839-4108
  • Fax: 814-839-4845
Mailing address:
  • Phone: 814-410-8300
  • Fax: 814-410-8331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELAINE M. LAMBERT
Title or Position: PRESIDENT
Credential:
Phone: 814-534-1630