DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC (NPI# 1053496893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053496893 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC |
| Other Organization Name | MEMORIAL BEHAVIORAL HEALTH UNIT - GERO |
| Practice Address |
1020 Franklin St 8th Floor Johnstown PA 15905-4109 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 8145341980 |
| Practice Fax Number | 8145341810 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 035601 | PA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS PSYCH | 0148 | 01 |
| PA | 100756849 | 05 | |
| PA | PROFEE PSYCH | 789567 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Behavioral Health Unit - Gero | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952968513 | Dlp Conemaugh Memorial Medical Center LLC | Health Educator | 320 Main St Ste 140, Johnstown, PA 15901-1601 | 2019-05-20 |
| 1457354672 | Dlp Conemaugh Memorial Medical Center LLC | Home Health | 315 Locust St, First Floor Suite, Johnstown, PA 15901-1651 | 2005-05-23 |
| 1538562665 | Dlp Conemaugh Memorial Medical Center LLC | Emergency Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-10-03 |
| 1649671348 | Dlp Conemaugh Memorial Medical Center LLC | Anesthesiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-12 |
| 1669873881 | Dlp Conemaugh Memorial Medical Center LLC | Pediatrics | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-07 |
| 1598899387 | Dlp Conemaugh Memorial Medical Center LLC | Pharmacy | 1086 Franklin St, Pharmacy Department, Johnstown, PA 15905-4305 | 2007-03-15 |
| 1215000872 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 320 Main Street, Johnstown, PA 15901-4305 | 2006-11-15 |
| 1598842627 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
| 1780769620 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-10-26 |
| Street Address |
1020 FRANKLIN ST 8TH FLOOR |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203989 | Conemaugh Health Initiatives | Internal Medicine | 1020 Franklin St, Johnstown, PA 15905-4109 | 2005-05-23 |
| 1982213724 | Mandy Marie Elbayly | Nurse Practitioner | 1020 Franklin St, Johnstown, PA 15905-4109 | 2020-07-28 |
| 1396388823 | Sierra Roberts | Pharmacist | 1020 Franklin St, Johnstown, PA 15905-4109 | 2019-10-28 |
| 1760883656 | Dlp Conemaugh Physician Practices LLC | Durable Medical Equipment & Medical Supplies | 1020 Franklin St, Johnstown, PA 15905-4109 | 2014-09-10 |
| 1457767394 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 1020 Franklin St, Ste 202, Johnstown, PA 15905-4109 | 2014-07-10 |
| 1477853612 | Kayla L Wirfel | Physician Assistant | 1020 Franklin St, Conemaugh Cancer Care Center, Johnstown, PA 15905-4109 | 2010-10-21 |
| 1467684514 | Baoying Weng | Pathology | 1020 Franklin St, Gs1252, Johnstown, PA 15905-4109 | 2009-08-21 |
| 1013149764 | Zhuo Wang | Pathology | 1020 Franklin St, Gs1252, Johnstown, PA 15905-4109 | 2009-08-13 |
| 1154559680 | Sheetal L Higbee | Internal Medicine | 1020 Franklin St, Johnstown, PA 15905-4109 | 2009-06-23 |
| 1780883181 | Dlp Conemaugh Physician Practices LLC | Pharmacy | 1020 Franklin St, Johnstown, PA 15905-4109 | 2007-07-16 |
| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922349075 | Conemaugh Valley Memorial Hospital | Psychiatric Unit | 320 Main St, Johnstown, PA 15901-1601 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
| 1023129707 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2006-08-31 |
| 1588771216 | Pinnacle Health Hospitals | Psychiatric Unit | 2401 N 3rd St, Harrisburg, PA 17110-1902 | 2006-08-25 |
| 1356354567 | Blue Mountain Hospital | Psychiatric Unit | 211 North 12th Street, Lehighton, PA 18235-1138 | 2006-08-15 |
| 1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
| 1649897562 | Highlands Hospital and Health Center | Psychiatric Unit | 401 E Murphy Ave, Connellsville, PA 15425-2724 | 2020-06-26 |
| 1336786276 | Somerset Health Services, Inc. | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2019-12-10 |
| 1649746488 | Upmc Williamsport | Psychiatric Unit | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-10-19 |
| 1184116774 | Schuylkill Medical Center - South Jackson Street | Psychiatric Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
| 1629578604 | Calvin A Alvesvelez | Psychiatric Unit | 500 University Dr, Hershey, PA 17033-2360 | 2018-02-16 |
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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.