Conemaugh Health Initiatives
NPI #1821130535 in Portage, Pennsylvania
Provider Information
- NPI Number
- 1821130535
- Entity Type
- Organization
- Organization Name
- Conemaugh Health Initiatives
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Apr 24, 2013
Practice Location
- Address
- 3670 PORTAGE ST
- Address 2
- SUITE 105
- City
- Portage
- State
- Pennsylvania
- ZIP Code
- 15946-6546
- Phone
- (814) 736-9614
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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