Organization Active NPI

DLP Conemaugh Miners Medical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Hastings, PA
National Provider Identifier
1598829210
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10850100 Issued in PA
Legal business name
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Practice address
290 Haida Avenue
Hastings, PA 16646
Phone
(814) 247-3100
Fax
(814) 247-3127
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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
Ambulatory Surgical Clinic/Center 261QA1903X 10850100 PA Primary

Addresses

Primary practice location

290 Haida Avenue
Hastings, PA 16646

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
0134OtherPACLUE CROSS (SWING BED)
1007506020008MedicaidPA
0079OtherPABLUE CROSS (ACUTE)
1007506020020MedicaidPA

Other names 1

  • Conemaugh Miners Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DLP Conemaugh Miners Medical Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1598829210",
    "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": "16646",
            "telephone_number": "814-247-3100",
            "fax_number": "814-247-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CONEMAUGH MINERS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "10850100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLUE CROSS (SWING BED)",
            "identifier": "0134",
            "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": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007506020020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conemaugh Miners Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conemaugh Miners Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.