Organization
CONEMAUGH VALLEY MEMORIAL HOSPITAL
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN DZIAGWA (DIRECTOR PATIENT ACCOUNTING)
(814) 410-8296
Entity
Organization
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8296
(814) 410-8447
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8296
(814) 410-8447
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035028
GATEWAY FMC
PA
01
—
1630493
BLUE CROSS
PA
01
—
1743391
BLUE CROSS FMC PROFEE
PA
01
—
99195
UNISON FMC
PA
Enumeration date
11/01/2006
Last updated
10/23/2008
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