DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC (NPI# 1780769620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780769620 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC |
| Other Organization Name | CONEMAUGH MEMORIAL MEDICAL CENTER |
| Practice Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 8145341821 |
| Practice Fax Number | 8145341743 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | JEFFREY G. SERAPHINE (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007568790016 | 05 | |
| PA | UNISON MIHC | 154211 | 01 |
| PA | GATEWAY MIHC | 1028629 | 01 |
| Other Name | Type Code |
|---|---|
| Conemaugh Memorial Medical Center | Other Name - Individual/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 |
| 1053496893 | Dlp Conemaugh Memorial Medical Center LLC | Psychiatric Unit | 1020 Franklin St, 8th Floor, Johnstown, PA 15905-4109 | 2006-10-26 |
| Street Address |
1086 FRANKLIN ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051440 | Conemaugh Health Initiatives | Anesthesiology | 1086 Franklin St, Ste A401, Johnstown, PA 15905-4305 | 2005-05-23 |
| 1245838010 | Kristen Chislow | Registered Nurse | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-10-14 |
| 1043818032 | Derick Mostoller | Registered Nurse | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-10-13 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1942819149 | Asfand Yar Butt | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-24 |
| 1285243535 | Muhammad Naqvi | Family Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1245849405 | Steven William Davie | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1871102038 | Shehbaz Ahmad | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1467061606 | Iyad Aljadba | Internal Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-23 |
| 1396353686 | Symaya Hoque | Family Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-22 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730508730 | Cambria County Crisis | Clinic/Center | 110 Franklin St Ste 300, Central Park Complex, Johnstown, PA 15901-1830 | 2014-04-08 |
| 1922582626 | Shadrach Counseling Center, Inc | Clinic/Center | 2001 Bedford St, Johnstown, PA 15904-1096 | 2018-09-18 |
| 1932552205 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2016-07-21 |
| 1487919197 | Alternative Community Resource Program | Clinic/Center | 131 Market St, Johnstown, PA 15901-1628 | 2012-07-09 |
| 1053681767 | Kaiser Foundation Health Plan of Co | Clinic/Center | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-01-11 |
| 1407933534 | Conemaugh Valley Memorial Hospital | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
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|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1629680319 | Innovative Pediatric Therapy Services LLC | Clinic/Center | 713 Bridge St Ste 23, Selinsgrove, PA 17870-1250 | 2020-08-24 |
| 1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
| 1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
| 1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
| 1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
| 1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
| 1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
| 1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
| 1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
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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.