Organization
CONEMAUGH HEALTH COMPANY LLC
Active
Other names
CONEMAUGH HOME MEDICAL COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLENE MARIE KUSHNER (DIRECTOR)
(814) 534-4430
Entity
Organization
Contact information
Practice address
331 SOMERSET ST, JOHNSTOWN, PA 15901-2541
(814) 534-4430
(814) 534-4477
Mailing address
331 SOMERSET ST, JOHNSTOWN, PA 15901
(814) 534-4430
(814) 534-4477
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
8000001322
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10146877701
—
PA
Enumeration date
06/05/2007
Last updated
08/22/2020
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