Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Other names
Memorial Behavioral Health Unit - Gero
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1020 FRANKLIN ST, 8TH FLOOR, JOHNSTOWN, PA 15905-4109
(814) 534-1980
(814) 534-1810
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
035601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148
BLUE CROSS PSYCH
PA
05
—
100756849
—
PA
01
—
789567
PROFEE PSYCH
PA
Enumeration date
10/26/2006
Last updated
04/29/2024
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