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Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Other names
Conemaugh Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR E. GIOVANETTI (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
315 LOCUST ST, FIRST FLOOR SUITE, JOHNSTOWN, PA 15901-1651
(814) 534-7500
(814) 534-7501
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
740605
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030014300
FEDERAL BLACK LUNG ID
PA
01
—
0785
HIGHMARK BLUE CROSS
PA
05
—
1007568490034
—
PA
01
—
1011895
GATEWAY / MOM MATTERS
PA
01
—
1329770
UMWA FUNDS ID #
PA
01
—
603577600
OFFICE WORKERS COMP ID
PA
01
—
PO08337
CHAMPUS ID
PA
Enumeration date
05/23/2005
Last updated
05/22/2017
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