Organization
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Active
Other names
Conemaugh Miners Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
290 HAIDA AVENUE, HASTINGS, PA 16646
(814) 247-3100
(814) 247-3127
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10850100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079
BLUE CROSS (ACUTE)
PA
01
—
0134
CLUE CROSS (SWING BED)
PA
05
—
1007506020008
—
PA
05
—
1007506020020
—
PA
Enumeration date
12/20/2006
Last updated
02/10/2023
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