NPIMap

Organization Active NPI

Meyersdale Community Hospital

Doing business as Meyersdale Medical Center

  • Emergency Medicine Physician
  • Meyersdale, PA
National Provider Identifier
1679533079
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MEYERSDALE COMMUNITY HOSPITAL
Doing business as
Meyersdale Medical Center
Practice address
200 Hospital Dr
Meyersdale Emergency Physicians Group
Meyersdale, PA 15552
Phone
(814) 634-5911
NPI assigned
Mar 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary L Libengood, RN
Title
President
Phone
(814) 634-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

200 Hospital Dr
Meyersdale Emergency Physicians Group
Meyersdale, PA 15552

Mailing address

551 Main St
The Informedx Group 3Rd Floor
Johnstown, PA 15901
Phone (814) 539-5724

Other identifiers 1

IdentifierTypeStateIssuer
1007705070012MedicaidPA

Other names 1

  • Meyersdale Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Meyersdale Community Hosptial2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

551 Main St
Fl 3
Johnstown, PA 15901

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679533079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MAIN ST",
            "address_2": "THE INFORMEDX GROUP 3RD FLOOR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15901",
            "telephone_number": "814-539-5724",
            "fax_number": "814-536-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "address_2": "MEYERSDALE EMERGENCY PHYSICIANS GROUP",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "15552",
            "telephone_number": "814-634-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEYERSDALE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIBENGOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-634-5911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007705070012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyersdale Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meyersdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.