Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Other names
Memorial Medical Center - Crichton Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
320 MAIN ST, 4TH FLOOR, JOHNSTOWN, PA 15901-1601
(814) 534-7900
(814) 534-7930
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
035601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007568490080
—
PA
01
—
1068
BLUE CROSS CRICHTON
PA
Enumeration date
10/20/2006
Last updated
04/29/2024
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