Organization
CONEMAUGH VALLEY MEMORIAL HOSPITAL
Active
Other names
Conemaugh Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN A DZIAGWA (DIRECTOR, PFS)
(814) 410-8296
Entity
Organization
Contact information
Practice address
320 MAIN ST, JOHNSTOWN, PA 15901-1601
(814) 410-8296
(814) 410-8495
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8296
(814) 410-8495
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
330390
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100756849
—
PA
Enumeration date
03/13/2013
Last updated
08/08/2013
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