NPIMap

Organization Active NPI

DLP Conemaugh Miners Medical Center LLC

Doing business as Conemaugh Miners Medical Center

  • Critical Access Hospital
  • Hastings, PA
National Provider Identifier
1184620486
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Doing business as
Conemaugh Miners Medical Center
Practice address
290 Haida Avenue
Hastings, PA 16646-0689
Phone
(814) 247-3100
Fax
(814) 247-3119
NPI assigned
Jun 22, 2005
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10850100 PA
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

290 Haida Avenue
Hastings, PA 16646-0689

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-4536
Phone (615) 920-7000

Other identifiers 5

IdentifierTypeStateIssuer
1007506020020MedicaidPA
1007506020008MedicaidPA
0079OtherBLUE CROSS (ACUTE)
1310OtherBLUE CROSS (STEP DOWN)
1364264OtherPABLUE CROSS EKG

Other names 1

  • Conemaugh Miners Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.conemaugh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20141030001653 PA Part B Supplier - Clinic/Group Practice 2860612439 Receives reassigned benefits from 58 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hastings, PA
O20200205002348 PA Part A Provider - Critical Access Hospital 2860612439 Receives reassigned benefits from 79 practitioners
Practice locations: Hastings, PA
O20200805000150 PA Part A Provider - Critical Access Hospital 2860612439 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hastings, PA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1184620486. Details of each certification follow.

Hospital certification: CCN 391317

Legal name
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Doing business as
CONEMAUGH MINERS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2020
Last certification
Jul 26, 2023
Beds
20
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
May 28, 2014 in DE
Enrollment address
290 Haida Ave
Hastings, PA 16646-5610
Main/Primary Hospital Location

Hospital certification: CCN 39Z317

Legal name
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Doing business as
CONEMAUGH MINERS MEDICAL CENTER
Organization structure
LLCProprietary
Incorporated
May 28, 2014 in DE
Enrollment address
290 Haida Avenue
Hastings, PA 16646-0689
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Conemaugh Miners Medical CenterCCN 391317 · All quality measures
Type
Critical Access Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 97%
Rodney D Reider Individual Operational/Managerial ControlMarket President and Ceo Mar 1, 2023
Elmer B Polite Individual Corporate OfficerPresident Jun 1, 2023
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 97%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Oct 7, 2019
Charlotte E Lawrence Individual Corporate OfficerSecretary Mar 24, 2022
DLP Partner LLC Organization, Brentwood, TN LLC, Management services company Operational/Managerial Control Sep 1, 2014 100%
Elliott Brown Individual Corporate OfficerSenior Vice President & Treasurer Apr 2, 2026
DLP Conemaugh Holding Company LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 28, 2014 100%
DLP Lima Partner, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 18, 2019 97%
Christopher J Monte Individual Corporate OfficerVice President May 28, 2014
Lima Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 18, 2019 97%

Facilities with the same owner 87

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 87

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

Affiliated clinicians 131

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1184620486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HAIDA AVENUE",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166460689",
            "telephone_number": "814-247-3100",
            "fax_number": "814-247-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CONEMAUGH MINERS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "10850100",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007506020020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007506020008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (ACUTE)",
            "identifier": "0079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (STEP DOWN)",
            "identifier": "1310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS EKG",
            "identifier": "1364264",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.conemaugh.org",
            "affiliation": "N",
            "address_1": "290 Haida Avenue",
            "city": "Hastings",
            "state": "PA",
            "country_code": "US",
            "postal_code": "166460689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Conemaugh Miners Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, PA

Sources for this page

Verify at the official NPI Registry.