| Conemaugh Physician Group- Family Medicine- Jennerstown | |
|
1611 W. Pitt Street Jennerstown PA 15547-0190 | |
| (814) 629-5647 | |
| (814) 629-5273 |
| Full Name | Conemaugh Physician Group- Family Medicine- Jennerstown |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1611 W. Pitt Street, Jennerstown, Pennsylvania |
| Authorized Official Name and Position | Elaine M. Lambert (PRESIDENT) |
| Authorized Official Contact | 8145341678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conemaugh Physician Group- Family Medicine- Jennerstown 1086 Franklin St Johnstown PA 15905-4305 Ph: (814) 534-1643 | Conemaugh Physician Group- Family Medicine- Jennerstown 1611 W. Pitt Street Jennerstown PA 15547-0190 Ph: (814) 629-5647 |
| NPI Number | 1831466937 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 09/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831466937 | NPI | - | NPPES |
| 0009654520002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Conemaugh Physician Group - Jennerstown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Pitt Street, Route 30, Jennerstown, PA 15547 Phone: 814-629-6031 Fax: 814-629-5273 | |
Conemaugh Physician Group - Jennerstown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1609 W. Pitt St., Jennerstown, PA 15547 Phone: 814-629-5647 Fax: 814-629-5276 |