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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1659481760
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	:	1611 PITT STREET
Second Line	:	ROUTE 30
City	:	JENNERSTOWN
State	:	PA
Zip	:	15547
Country	:	US
Telephone Number	:	814-629-6031
Fax Number	:	814-629-5273

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELAINE M LAMBERT
Credential	:
Telephone Number	:	814-534-1630

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	01/21/2013

Similar Medicare Providers

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Practice Location Address:

1611 PITT STREET , ROUTE 30
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Practice Fax:

1174641104 — DR. ROBERT JAMES HUDSON
Practice Location Address:

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1346497377 — DR. TIFFANY KELLY HELMAN MD
Practice Location Address:

1611 WEST PITT STREET
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1740428945 — MS. JACQUELINE M. MARTELLA RPH
Practice Location Address:

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