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DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC NPI 1215000872


NPI Information

NPI: 1215000872
Provider Name: DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC

Doing Business As: CONEMAUGH MEMORIAL MEDICAL CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
320 MAIN STREET
JOHNSTOWN, PA
ZIP 15901
Phone: (814) 410-8296
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DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC is a clinic center in Johnstown, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC NPI is 1215000872. The provider is registered as an organization entity type.
The provider Is Doing Business As Conemaugh Memorial Medical Center.

The provider's business location address is:

320 MAIN STREET
JOHNSTOWN, PA
ZIP 15901-305
Phone: (814) 410-8296
Fax: (814) 410-8597

The provider's authorized official is Charlotte Lawrence .
The authorized official title is Secretary and has the following contact phone number (615) 920-7000.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 2/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007568490090MEDICAIDPENNSYLVANIA
20149OTHERPENNSYLVANIABLUE CROSS NEW VISIONS
31007568490089MEDICAIDPENNSYLVANIA
41007568490091MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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