CONEMAUGH VALLEY MEMORIAL HOSPITAL (NPI# 1396822425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396822425 |
| Entity Type | Organization |
| Organization Name | CONEMAUGH VALLEY MEMORIAL HOSPITAL |
| Other Organization Name | EPSDT |
| Practice Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Mailing Address |
1086 Franklin St Johnstown PA 15905 |
| Practice Telephone | 8145341821 |
| Practice Fax Number | 8145341743 |
| Mailing Telephone | 8144108296 |
| Mailing Fax Number | 8144108597 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | JEAN A DZIAGWA (DIRECTOR PFS) |
| Authorized Official Telephone | 8144108296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007568490053 | 05 | |
| PA | GATEWAY EPSDT | 1004907 | 01 |
| Other Name | Type Code |
|---|---|
| EPSDT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922349075 | Conemaugh Valley Memorial Hospital | Psychiatric Unit | 320 Main St, Johnstown, PA 15901-1601 | 2013-03-13 |
| 1902068380 | Conemaugh Valley Memorial Hospital | General Acute Care Hospital | 230 Main St, Conemaugh Diabetes Institute, Johnstown, PA 15901 | 2008-06-27 |
| 1801918495 | Conemaugh Valley Memorial Hospital | Emergency Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-04-04 |
| 1407933534 | Conemaugh Valley Memorial Hospital | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1194802231 | Conemaugh Valley Memorial Hospital | Nurse Anesthetist, Certified Registered | 1086 Franklin St, Johnstown, PA 15905-4398 | 2006-11-01 |
| 1699852723 | Conemaugh Valley Memorial Hospital | General Acute Care Hospital | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1346200920 | Conemaugh Valley Memorial Hospital | Emergency Medicine | 1086 Franklin St, Conemaugh Emergency Physicians Group, Johnstown, PA 15905 | 2006-03-27 |
| Street Address |
1086 FRANKLIN ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051440 | Conemaugh Health Initiatives | Anesthesiology | 1086 Franklin St, Ste A401, Johnstown, PA 15905-4305 | 2005-05-23 |
| 1245838010 | Kristen Chislow | Registered Nurse | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-10-14 |
| 1043818032 | Derick Mostoller | Registered Nurse | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-10-13 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1942819149 | Asfand Yar Butt | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-24 |
| 1285243535 | Muhammad Naqvi | Family Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1245849405 | Steven William Davie | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1871102038 | Shehbaz Ahmad | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1467061606 | Iyad Aljadba | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1396353686 | Symaya Hoque | Family Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1588285076 | Community Health and Dental Care, Inc | Clinic/Center | 1315 Route 100 North, Barto, PA 19504-8724 | 2020-05-06 |
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| 1407487382 | Family First Health Corporation | Clinic/Center | 430 Walnut St, Columbia, PA 17512-1295 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.