Organization
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Active
Other names
Conemaugh Home Health
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, FIRST FLOOR SUITE, JOHNSTOWN, PA 15901-1651
(814) 534-7500
(814) 534-7501
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
740605
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030014300
FEDERAL BLACK LUNG ID
PA
01
—
0785
HIGHMARK BLUE CROSS
PA
05
—
1007568490034
—
PA
01
—
1011895
GATEWAY / MOM MATTERS
PA
01
—
1329770
UMWA FUNDS ID #
PA
01
—
603577600
OFFICE WORKERS COMP ID
PA
01
—
PO08337
CHAMPUS ID
PA
Enumeration date
05/23/2005
Last updated
05/22/2017
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