Organization
DLP CONEMAUGH MINER'S MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
290 HAIDA AVE, HASTINGS, PA 16646-5610
(814) 475-8700
Mailing address
290 HAIDA AVE, HASTINGS, PA 16646-5610
(814) 475-8700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/08/2014
Last updated
10/04/2022
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