# MEMORIAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750583530
- **Authorized official:** SUSAN MARY ZIDERS RNC, BSN, CRNP (NEONATAL NURSE PRACTITIONER)
- **Authorized official phone:** (814) 534-9267

## Contact information

- **Practice address:** 1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
- **Practice address phone:** (814) 534-9267
- **Mailing address:** 2905 BENJAMIN CT, MOON TOWNSHIP, PA 15108-7726
- **Mailing address phone:** (412) 264-6563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | VP003339 J | PA | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 08/22/2020