NPIMap

Organization Active NPI

Conemaugh Health Initiatives, Inc.

Doing business as CHI Cresson Family Practice

  • Non-Pharmacy Dispensing Site
  • Cresson, PA
National Provider Identifier
1245372895
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD013554E Issued in PA
Legal business name
CONEMAUGH HEALTH INITIATIVES, INC.
Doing business as
CHI Cresson Family Practice
Practice address
225 Keystone Ave
Cresson, PA 16630-1214
Phone
(814) 886-4635
NPI assigned
Feb 12, 2007
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDVANTX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Kenny Heine
Title
Director of Operations
Phone
(858) 625-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MD013554E PA Primary

Addresses

Primary practice location

225 Keystone Ave
Cresson, PA 16630-1214

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Phone (858) 625-2990

Other names 1

  • CHI Cresson Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conemaugh Health Initiatives38 organizations share this tax ID, including this one
Part of
Medvantx Inc

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

225 Keystone Ave
Cresson, PA 16630
Phone (814) 886-2911

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1245372895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 KEYSTONE AVE",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301214",
            "telephone_number": "814-886-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEMAUGH HEALTH INITIATIVES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD013554E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Cresson Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cresson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.