Organization
CONEMAUGH VALLEY MEMORIAL HOSPITAL
Active
Other names
Out Patienet Medical Assistance
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN A DZIAGWA (DIRECTOR PFS)
(814) 410-8296
Entity
Organization
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-1821
(814) 534-1743
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905
(814) 410-8296
(814) 410-8597
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007568490047
—
PA
Enumeration date
11/01/2006
Last updated
04/23/2008
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