Memorial Medical Center

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

VP001816J Issued in PA

Legal business name

MEMORIAL MEDICAL CENTER

Practice address

1086 Franklin St
Johnstown, PA 15905-4305

Phone

(814) 534-9503

NPI assigned

Jun 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Ann Haslett, MSN, CRNP

Title

Nurse Practitioner

Phone

(814) 534-9503

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1003010992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 BLUE RIDGE DR",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151085500",
            "telephone_number": "724-457-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "HASLETT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "814-534-9503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, CRNP"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "PA",
            "license": "VP001816J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R Meenan, MD
• Kathleen A Mehall, PA-C
• Talha Mehmood, M.D.
• Janet Elaine Melikant, OTR/L
• Melissa Melikant
• Memorial Medical Center
• James Mendillo, PAC
• Menoher Heights Vol Fire Dept
• Deborah K Menzie, MD
• Stephanie Merberger, LSW

• Children's Hospital in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Children's Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.