Goodwill of the Southern Alleghenies

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

306150 Issued in PA

Legal business name

GOODWILL OF THE SOUTHERN ALLEGHENIES

Practice address

540 Central Ave
Johnstown, PA 15902-2674

Phone

(814) 536-3536

Fax

(814) 536-5171

NPI assigned

Mar 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bradley Robert Burger

Title

President/Ceo

Phone

(814) 254-9700

Specialties & licenses 1

Addresses

Other names 1

• Goodwill Industries of the Conemaugh Valley, Inc. Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1154453546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CENTRAL AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159022674",
            "telephone_number": "814-536-3536",
            "fax_number": "814-536-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CENTRAL AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159022674",
            "telephone_number": "814-536-3536",
            "fax_number": "814-536-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OF THE SOUTHERN ALLEGHENIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "814-254-9700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "306150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Industries of the Conemaugh Valley, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Goodwill Industries of the Conemaugh Valley, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Luis Gonzalez III, PHARM.D.
• Good Samaritan Medical Center of Johnstown
• Cami Good, MD
• Susan Brown Good, AU.D.
• Richard Paul Goodrich Jr., D.O.
• Jessica Goodwin, CRNP
• Kimberly Marie Gorman, DNP, AG-ACNP-BC,
• Amanda Ann Gorzelsky, PHARM D
• Samantha Amanda Gould, PA-C
• Colleen Grajeda, COTA/L

• Community/Behavioral Health Agency in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.