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Conemaugh Health Initiatives

Organization Active NPI Non-Pharmacy Dispensing Site · Hollsopple, PA

NPI 1285906149 · NPPES record last updated Apr 25, 2013

Key facts

NPI
1285906149
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
License
OS010616L (PA)
Legal business name
CONEMAUGH HEALTH INITIATIVES
Practice address
207 Woodstown Hwy
Hollsopple, PA 15935-7119
Phone
(814) 479-4034
NPI assigned
Feb 7, 2012
Organization subpart
Yes
Parent organization (as reported)
MEDVANTX, INC.

Authorized official

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

Corporate family (same tax ID) 37

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

View all 37

National Provider Directory

Tax ID family
Conemaugh Health Initiatives (38 organizations share this tax ID)
Part of
Tri - State Medical Group Inc

Locations

207 Woodstown Hwy
Hollsopple, PA 15935
Phone (814) 479-4034

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X OS010616L PA Yes

Addresses

Primary practice location

207 Woodstown Hwy
Hollsopple, PA 15935-7119

Mailing address

5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705

Other names

  • CHI DAVIDSVILLE Doing business as

Other providers in Hollsopple, PA

All providers in Hollsopple, PA · Non-Pharmacy Dispensing Site in Pennsylvania

Sources for this page

Verify at the official NPI Registry.