Active NPI
Conemaugh Health Initiatives
- Family Medicine Physician
- Portage, PA
National Provider Identifier
1710056015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONEMAUGH HEALTH INITIATIVES
- Practice address
- 3670 Portage St
Portage, PA 15946-6546 - Phone
- (814) 736-9614
- Fax
- (814) 736-9783
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaine M Lambert
- Title
- President
- Phone
- (814) 534-1630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3670 Portage St
Portage, PA 15946-6546
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB9772 | Other | PA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1710056015",
"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": "814-410-8300",
"fax_number": "814-410-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 PORTAGE ST",
"city": "PORTAGE",
"state": "PA",
"postal_code": "159466546",
"telephone_number": "814-736-9614",
"fax_number": "814-736-9783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONEMAUGH HEALTH INITIATIVES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2008-02-11",
"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": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB9772",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.