CONEMAUGH VALLEY MEMORIAL HOSPITAL (NPI# 1922349075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922349075 |
| Entity Type | Organization |
| Organization Name | CONEMAUGH VALLEY MEMORIAL HOSPITAL |
| Other Organization Name | CONEMAUGH COUNSELING ASSOCIATES |
| Practice Address |
320 Main St Johnstown PA 15901-1601 |
| Mailing Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Practice Telephone | 8144108296 |
| Practice Fax Number | 8144108495 |
| Mailing Telephone | 8144108296 |
| Mailing Fax Number | 8144108495 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | JEAN A DZIAGWA (DIRECTOR, PFS) |
| Authorized Official Telephone | 8144108296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 330390 | PA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100756849 | 05 |
| Other Name | Type Code |
|---|---|
| Conemaugh Counseling Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902068380 | Conemaugh Valley Memorial Hospital | General Acute Care Hospital | 230 Main St, Conemaugh Diabetes Institute, Johnstown, PA 15901 | 2008-06-27 |
| 1801918495 | Conemaugh Valley Memorial Hospital | Emergency Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-04-04 |
| 1407933534 | Conemaugh Valley Memorial Hospital | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1396822425 | Conemaugh Valley Memorial Hospital | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1194802231 | Conemaugh Valley Memorial Hospital | Nurse Anesthetist, Certified Registered | 1086 Franklin St, Johnstown, PA 15905-4398 | 2006-11-01 |
| 1699852723 | Conemaugh Valley Memorial Hospital | General Acute Care Hospital | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1346200920 | Conemaugh Valley Memorial Hospital | Emergency Medicine | 1086 Franklin St, Conemaugh Emergency Physicians Group, Johnstown, PA 15905 | 2006-03-27 |
| 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 |
| 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 |
| 1295996478 | Amanda Marie Hoffman | 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 | 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 |
|---|---|---|---|---|
| 1053496893 | Dlp Conemaugh Memorial Medical Center LLC | Psychiatric Unit | 1020 Franklin St, 8th Floor, Johnstown, PA 15905-4109 | 2006-10-26 |
| 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.