NPIMap

Organization Active NPI

DLP Conemaugh Miners Medical Center LLC

Doing business as Conemaugh Miners Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Hastings, PA
National Provider Identifier
1679637482
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
10850100 Issued in PA
Legal business name
DLP CONEMAUGH MINERS MEDICAL CENTER LLC
Doing business as
Conemaugh Miners Medical Center
Practice address
290 Haida Avenue
Hastings, PA 16646
Phone
(814) 247-3100
Fax
(814) 247-3119
NPI assigned
Dec 19, 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 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 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 PA

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679637482. Details of each certification follow.

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 1

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

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 2

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.

Affiliated clinicians 1

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": "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": [],
    "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

Sources for this page

Verify at the official NPI Registry.