NPIMap

DLP Conemaugh Memorial Medical Center LLC

Organization Active NPI Registered Dietitian · Johnstown, PA

NPI 1760154975 · NPPES record last updated Oct 5, 2021

Key facts

NPI
1760154975
Entity type
Organization (NPI type 2)
Primary specialty
Registered Dietitian 133V00000X
Legal business name
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Practice address
1111 Franklin St Ste 180
Johnstown, PA 15905-4341
Phone
(814) 534-6800
NPI assigned
Oct 5, 2021
Organization subpart
No

Authorized official

Name
Kathy Teague
Title
Assistant VP & Secretary
Phone
(615) 920-7646

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 5

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

Corporate family (same tax ID) 8

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

Practitioners 118

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

View all 118

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190822001326 PA MDPP Supplier - in-Person MDPP Supplier 8022238682 1 other NPI on this enrollment
Practice locations: Johnstown, PA

National Provider Directory

Tax ID family
DLP Conemaugh Memorial Medical Center LLC (9 organizations share this tax ID)

Locations

210 Ohio St
Boswell, PA 15531
Phone (814) 629-5653

861 Hills Plz
Ste 230
Ebensburg, PA 15931
Phone (814) 472-4468

881 Hills Plz
Ste 550
Ebensburg, PA 15931
Phone (814) 472-4521

861 Hills Plz
Ste 240A240B
Ebensburg, PA 15931
Phone (814) 472-4958

315 Locust St
Ste 7
Johnstown, PA 15901
Phone (814) 534-6991

1450 Scalp Ave
Ste 1
Johnstown, PA 15904
Phone (814) 262-7290

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 102
Johnstown, PA 15904
Phone (814) 534-1990

1 Tech Park Dr
Ste 1144
Johnstown, PA 15901
Phone (814) 475-8718

1450 Scalp Ave
Ste 1050
Johnstown, PA 15904
Phone (814) 266-9686

1111 Franklin St
Ste 160
Johnstown, PA 15905
Phone (814) 534-9183

1020 Franklin St
Fl 3
Johnstown, PA 15905
Phone (814) 534-1990

1111 Franklin St
Ste 220
Johnstown, PA 15905
Phone (814) 534-3279

1086 Franklin St
Ste D3159
Johnstown, PA 15905
Phone (814) 534-9194

320 Main St
Fl 6
Johnstown, PA 15901
Phone (814) 534-6450

1450 Scalp Ave
Ste 1052
Johnstown, PA 15904
Phone (814) 266-9686

1111 Franklin St
Ste 120A
Johnstown, PA 15905
Phone (814) 534-6800

1020 Franklin St
Fl 7
Johnstown, PA 15905
Phone (814) 534-1077

320 Main St
Fl 1
Johnstown, PA 15901
Phone (814) 534-1770

1060 Lloyd St
Rm 1060
Nanty Glo, PA 15943
Phone (814) 749-8624

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP		 133V00000X Yes
Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP		 163W00000X
Health Educator
Group: 193200000X MULTI-SPECIALTY GROUP		 174H00000X

Addresses

Primary practice location

1111 Franklin St Ste 180
Johnstown, PA 15905-4341

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names

  • Conemaugh Diabetes Institute Doing business as

Other providers in Johnstown, PA

All providers in Johnstown, PA · Registered Dietitian in Pennsylvania

Sources for this page

Verify at the official NPI Registry.