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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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