NPIMap

Organization Active NPI

Conemaugh Valley Memorial Hospital

Doing business as Conemaugh Counseling Associates

  • Psychiatric Hospital Unit
  • Johnstown, PA
National Provider Identifier
1922349075
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
330390 Issued in PA
Legal business name
CONEMAUGH VALLEY MEMORIAL HOSPITAL
Doing business as
Conemaugh Counseling Associates
Practice address
320 Main St
Johnstown, PA 15901-1601
Phone
(814) 410-8296
Fax
(814) 410-8495
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Jean A Dziagwa
Title
Director, PFS
Phone
(814) 410-8296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 330390 PA Primary

Addresses

Primary practice location

320 Main St
Johnstown, PA 15901-1601

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8296

Other identifiers 1

IdentifierTypeStateIssuer
100756849MedicaidPA

Other names 1

  • Conemaugh Counseling Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conemaugh Mem Richland7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1922349075",
    "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": "814-410-8296",
            "fax_number": "814-410-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011601",
            "telephone_number": "814-410-8296",
            "fax_number": "814-410-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEMAUGH VALLEY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "DZIAGWA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, PFS",
        "authorized_official_telephone_number": "814-410-8296"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "330390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100756849",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conemaugh Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.