NPIMap

Organization Active NPI

DLP Conemaugh Meyersdale Medical Center LLC

Doing business as Conemaugh Meyersdale Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Meyersdale, PA
National Provider Identifier
1235203399
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
391101 Issued in PA
Legal business name
DLP CONEMAUGH MEYERSDALE MEDICAL CENTER LLC
Doing business as
Conemaugh Meyersdale Medical Center
Practice address
200 Hospital Dr
Meyersdale, PA 15552-1249
Phone
(814) 634-5911
Fax
(814) 634-0435
NPI assigned
Nov 20, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 391101 PA Primary

Addresses

Primary practice location

200 Hospital Dr
Meyersdale, PA 15552-1249

Mailing address

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

Other names 1

  • Conemaugh Meyersdale 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 PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220807000114 PA Part A Provider - Critical Access Hospital 0446470041 Practice locations: Meyersdale, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235203399. Details of each certification follow.

Hospital certification: CCN 39Z302

Legal name
DLP CONEMAUGH MEYERSDALE MEDICAL CENTER, LLC
Doing business as
CONEMAUGH MEYERSDALE MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
200 Hospital Dr
Meyersdale Medical Center
Meyersdale, PA 15552-1249
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 3

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

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
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
Marcus B Poppell Individual Corporate OfficerSenior Vice President Sep 1, 2014
Charlotte E Lawrence Individual Corporate OfficerSecretary Mar 24, 2022
DLP Partner LLC Organization, Brentwood, TN LLC, Management services company, For-profit Operational/Managerial Control Sep 1, 2014
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
DLP Lima Partner, LLC Organization, Brentwood, TN LLC, 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

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1235203399",
    "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": "200 HOSPITAL DR",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521249",
            "telephone_number": "814-634-5911",
            "fax_number": "814-634-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CONEMAUGH MEYERSDALE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "PA",
            "license": "391101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.conemaugh.org",
            "affiliation": "N",
            "address_1": "200 Hospital Dr",
            "city": "Meyersdale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "155521249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Conemaugh Meyersdale Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meyersdale, PA

Sources for this page

Verify at the official NPI Registry.