Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Other names
Conemaugh Regional Hospice
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, SUITE 5E, JOHNSTOWN, PA 15901-1651
(814) 534-6100
(814) 534-6105
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
156599
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001491870
—
PA
01
—
0124863
CIGNA
—
01
—
242848
UNISON
PA
01
—
87
UPMC
PA
01
—
GATEWAY - 1502289
HOSPICE
PA
01
—
HIGHMARK - 1024
HOSPICE
PA
01
—
PO29291
CHAMPUS
—
Enumeration date
07/31/2006
Last updated
05/22/2017
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