| Conemaugh Health Initiatives | |
|
3670 Portage St Portage PA 15946-6546 | |
| (814) 736-9614 | |
| (814) 736-9783 |
| Full Name | Conemaugh Health Initiatives |
|---|---|
| Speciality | Family Medicine |
| Location | 3670 Portage St, Portage, Pennsylvania |
| Authorized Official Name and Position | Elaine M Lambert (PRESIDENT) |
| Authorized Official Contact | 8145341630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conemaugh Health Initiatives 1086 Franklin St Johnstown PA 15905-4305 Ph: (814) 410-8300 | Conemaugh Health Initiatives 3670 Portage St Portage PA 15946-6546 Ph: (814) 736-9614 |
| NPI Number | 1710056015 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710056015 | NPI | - | NPPES |
| CB9772 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pioneer Medical Pa Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 132 Block Rd, Portage, PA 15946 Phone: 901-603-6113 | |
Conemaugh Physician Group - Portage Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3670 Portage St, Ste 105, Portage, PA 15946 Phone: 814-736-9614 Fax: 814-736-9783 |