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NPI Code Detail

MEDICARE: CONEMAUGH HEALTH INITIATIVES

MEDICARE: CONEMAUGH HEALTH INITIATIVES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical LaboratoryMD017928EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134256415
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONEMAUGH HEALTH INITIATIVES
Provider Business Mailing Address
First Line : 1086 FRANKLIN ST
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15905-4305
Country : US
Telephone Number : 814-410-8300
Fax Number : 814-410-8331
Provider Business Practice Location Address
First Line : 3670 PORTAGE ST
Second Line : SUITE 105
City : PORTAGE
State : PA
Zip : 15946-6546
Country : US
Telephone Number : 814-736-3321
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ELAINE M LAMBERT
Credential :
Telephone Number : 814-534-1630
Provider Enumeration Date : 02/27/2007
Last Update Date : 08/22/2020

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Directions to “CONEMAUGH HEALTH INITIATIVES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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