NPIMap

DLP Conemaugh Miners Medical Center LLC

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Hastings, PA

NPI 1679637482 · NPPES record last updated Apr 29, 2024

Key facts

NPI
1679637482
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
10850100 (PA)
Legal business name
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Practice address
290 Haida Avenue
Hastings, PA 16646
Phone
(814) 247-3100
Fax
(814) 247-3119
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 2

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

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

Facilities with the same owner 87

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

View all 87

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Hospital certification: CCN 39Z317

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

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 Control
Market President and Ceo		 Mar 1, 2023
Elmer B Polite
Individual 		Corporate Officer
President		 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 Officer
Senior Vice President		 Oct 7, 2019
Charlotte E Lawrence
Individual 		Corporate Officer
Secretary		 Mar 24, 2022
DLP Partner LLC
Organization · Brentwood, TN
LLC, Management services company 		Operational/Managerial Control Sep 1, 2014 100%
Elliott Brown
Individual 		Corporate Officer
Senior 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 Officer
Vice 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%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200805000150 PA Part a Provider - Critical Access Hospital 2860612439 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Hastings, PA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 10850100 PA Yes

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

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

Other names

  • Conemaugh Miners Medical Center Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.conemaugh.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2024.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1679637482",
    "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": "814-247-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLP CONEMAUGH MINERS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "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": "10850100",
            "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": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS (SWING BED)",
            "identifier": "0134",
            "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": "16646",
            "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

All providers in Hastings, PA · Medicare Defined Swing Bed Hospital Unit in Pennsylvania

Sources for this page

Verify at the official NPI Registry.