DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC (NPI# 1164509261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164509261 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC |
| Other Organization Name | CONEMAUGH MEMORIAL MEDICAL CENTER TRANSITIONAL CARE UNIT |
| Practice Address |
320 Main St Johnstown PA 15901-1601 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 8145346111 |
| Practice Fax Number | 8145346114 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-11-01 |
| 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 | 314000000X | Skilled Nursing Facility | 035601 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS TCU | 0443 | 01 |
| PA | MISC/COMMERCIAL TCU | 250965307 | 01 |
| Other Name | Type Code |
|---|---|
| Conemaugh Memorial Medical Center Transitional Care Unit | Doing Business As Name - Organization |
| Memorial Medical Center Transitional Care Unit | 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 |
| 1780769620 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-10-26 |
| 1053496893 | Dlp Conemaugh Memorial Medical Center LLC | Psychiatric Unit | 1020 Franklin St, 8th Floor, Johnstown, PA 15905-4109 | 2006-10-26 |
| Street Address |
320 MAIN ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617674 | Conemaugh Health Initiatives | Psychiatry & Neurology | 320 Main St, Johnstown, PA 15901-1601 | 2005-05-27 |
| 1306368196 | Zachary Mailman | Physician Assistant | 320 Main St, Johnstown, PA 15901-1601 | 2017-07-12 |
| 1922349075 | Conemaugh Valley Memorial Hospital | Psychiatric Unit | 320 Main St, Johnstown, PA 15901-1601 | 2013-03-13 |
| 1770857401 | Conemaugh Health Initiatives | Psychologist | 320 Main St, 2nd Floor, Johnstown, PA 15901-1601 | 2012-02-27 |
| 1396026480 | Chelsa A Polonia | Physician Assistant | 320 Main St, 2nd Fl, Johnstown, PA 15901-1601 | 2011-09-01 |
| 1053630061 | Alane J Knapp | Social Worker | 320 Main St, 2nd Fl, Johnstown, PA 15901-1601 | 2010-06-01 |
| 1366694754 | Brandy Lynn Day | Physician Assistant | 320 Main St, 2nd Floor, Johnstown, PA 15901-1601 | 2008-10-16 |
| 1326296377 | Ryan Patrick Dunne | Psychologist | 320 Main St, 2nd Floor, Johnstown, PA 15901-1601 | 2008-09-03 |
| 1871741272 | Eileen Tyler Fiorina | Dietitian, Registered | 320 Main St, Johnstown, PA 15901-1601 | 2008-08-28 |
| 1386805554 | Elena Gary | Dietitian, Registered | 320 Main St, Johnstown, PA 15901-1601 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540758 | Valley Vision Care | Optometrist | 132 Market St., Johnstown, PA 15901 | 2016-10-26 |
| 1649515552 | Nulton Diagnostic & Treatment Center, PC. | Community/Behavioral Health | 110 Franklin Street, Suite 100, Johnstown, PA 15901 | 2012-12-04 |
| 1811126113 | Paul Richard Hoover | Counselor | 131 Market Street, Johnstown, PA 15901 | 2009-07-08 |
| 1013128495 | Subarna Hamid Eisaman | Internal Medicine | 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 | 2007-05-25 |
| 1912049115 | Charles G Shea Dmd PC | Dentist | 225 Vine St, Johnstown, PA 15901 | 2007-02-13 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| 1659458396 | Joseph Andrew Balaschak | Dentist | 216 Dibert Street, Johnstown, PA 15901 | 2006-11-01 |
| 1306951561 | Barry James Senior | Dentist | 248 Vine Street, Johnstown, PA 15901 | 2006-08-20 |
| 1316979396 | Vicki Hess | Social Worker | 417 Main Street, Johnstown, PA 15901 | 2006-07-07 |
| 1043270143 | Highland R Campbell Jr. | Emergency Medicine | 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 | 2006-03-24 |
| Find all providers in zip 15901 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497824064 | Arbutus Park Manor | Skilled Nursing Facility | 207 Ottawa Street, Johnstown, PA 15904-2337 | 2006-11-07 |
| 1740231059 | Ggnsc Johnstown Lp | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2006-05-12 |
| 1780668079 | Good Samaritan Medical Center of Johnstown | Skilled Nursing Facility | 1017 Franklin St, Johnstown, PA 15905-4110 | 2005-12-01 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1588662936 | Laurel Wood Care Center, LLC | Skilled Nursing Facility | 100 Woodmont Rd, Johnstown, PA 15905-1342 | 2005-07-11 |
| 1831192228 | Allegheny Lutheran Social Ministries Inc. | Skilled Nursing Facility | 807 Goucher St, Johnstown, PA 15905-2900 | 2005-05-31 |
| 1194204917 | Villa Crest LLC | Skilled Nursing Facility | 1451 Frankstown Rd, Johnstown, PA 15902-1318 | 2018-08-13 |
| 1093261463 | Guardian Elder Care At Johnstown LLC | Skilled Nursing Facility | 349 Vo Tech Dr, Johnstown, PA 15904-2926 | 2016-08-26 |
| 1699147603 | Westmont Woods, Lp | Skilled Nursing Facility | 787 Goucher St, Johnstown, PA 15905-3028 | 2015-10-29 |
| 1518010875 | Wells Nursing Home Inc. | Skilled Nursing Facility | 201 W Madison Ave, Johnstown, NY 12095-2806 | 2007-01-19 |
| Find all providers in JOHNSTOWN | ||||
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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.