Conemaugh Health Initiatives
Organization Active NPI Non-Pharmacy Dispensing Site · Ebensburg, PA
NPI 1609196286 · NPPES record last updated Apr 25, 2013
Key facts
- NPI
- 1609196286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- MD052898L (PA)
- Legal business name
- CONEMAUGH HEALTH INITIATIVES
- Practice address
- 1100 W High St
Ebensburg, PA 15931-1706 - Phone
- (814) 472-7933
- NPI assigned
- Jun 7, 2010
- 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
National Provider Directory
- Tax ID family
- Conemaugh Health Initiatives
- Part of
- Tri - State Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD052898L | PA | Yes |
Addresses
Primary practice location
1100 W High St
Ebensburg, PA 15931-1706
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names
- CHI Ebensburg Family Practice
Other providers in Ebensburg, PA
- Jeanne Rene Clark
- Jenna Mae Cochran
- Lisa Marie Cochran
- Conemaugh Health Initiatives
- Conemaugh Health Initiatives
- Conemaugh Health Initiatives
- John Anthony Connell
- Kimberly Eva Cope
- Erica D Coppersmith
- Trista Liane Cory
All providers in Ebensburg, PA · Non-Pharmacy Dispensing Site in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.