Conemaugh Health Initiatives
Organization Active NPI Internal Medicine Physician · Bedford, PA
NPI 1689784191 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1689784191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD027746E (PA)
- Legal business name
- CONEMAUGH HEALTH INITIATIVES
- Practice address
- 140 S Anderson St
Bedford, PA 15522-1403 - Phone
- (814) 623-6917
- Fax
- (814) 623-7520
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Elaine M Lambert
- Title
- President
- Phone
- (814) 534-1630
Corporate family (same tax ID) 37
National Provider Directory
- Tax ID family
- Conemaugh Health Initiatives
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD027746E | PA | Yes |
Addresses
Primary practice location
140 S Anderson St
Bedford, PA 15522-1403
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 535-8885
Other names
- CHI Slick
NPI Registry JSON
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689784191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-535-8885",
"fax_number": "814-255-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S ANDERSON ST",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155221403",
"telephone_number": "814-623-6917",
"fax_number": "814-623-7520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONEMAUGH HEALTH INITIATIVES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAMBERT",
"authorized_official_first_name": "ELAINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-534-1630"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD027746E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CHI Slick",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bedford, PA
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- Danielle Colene Claycomb
- Lauren Cornell
- Natasha Crissey
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- Frank M. Cullen
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All providers in Bedford, PA · Internal Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.