Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Other names
Conemaugh Memorial Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
320 MAIN STREET, JOHNSTOWN, PA 15901-4305
(814) 410-8296
(814) 410-8597
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0149
BLUE CROSS NEW VISIONS
PA
05
—
1007568490089
—
PA
05
—
1007568490090
—
PA
05
—
1007568490091
—
PA
Enumeration date
11/15/2006
Last updated
04/29/2024
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