Organization
CONEMAUGH HEALTH INITIATIVES
Active
Other names
Portage Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE M. LAMBERT (PRESIDENT)
(814) 534-1630
Entity
Organization
Contact information
Practice address
3670 PORTAGE STREET, JOHNSTOWN, PA 15946
(814) 736-9614
(814) 736-9783
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB9772
RAILROAD MEDICARE
PA
Enumeration date
08/17/2006
Last updated
04/21/2010
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