Presbyterian Home Of Redstone Presbytery

Specialty details in registry · Johnstown, PA

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At a glance

787 Goucher St, Johnstown, PA 15905-3028

NPPES record updated Aug 8, 2011. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

787 Goucher St
Johnstown, PA 15905-3028
Professional details: NPI, taxonomy & registry record
NPI1275649634
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
313M00000X
Enumeration date
Aug 21, 2006
Record updated
Aug 8, 2011
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

313M00000X · Primary

License reported: 680102 PA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

787 Goucher St
Johnstown, PA 15905-3028
Phone
(814) 255-5539
Fax
(814) 254-1809
Mailing address
787 GOUCHER ST

JOHNSTOWN, PA 159053028
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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