DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC (NPI# 1104909654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104909654 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC |
| Other Organization Name | MEMORIAL MEDICAL CENTER - CRICHTON REHABILITATION CENTER |
| Practice Address |
320 Main St 4th Floor Johnstown PA 15901-1601 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 8145347900 |
| Practice Fax Number | 8145347930 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 035601 | PA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007568490080 | 05 | |
| PA | BLUE CROSS CRICHTON | 1068 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Medical Center - Crichton Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952968513 | Dlp Conemaugh Memorial Medical Center LLC | Health Educator | 320 Main St Ste 140, Johnstown, PA 15901-1601 | 2019-05-20 |
| 1457354672 | Dlp Conemaugh Memorial Medical Center LLC | Home Health | 315 Locust St, First Floor Suite, Johnstown, PA 15901-1651 | 2005-05-23 |
| 1538562665 | Dlp Conemaugh Memorial Medical Center LLC | Emergency Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-10-03 |
| 1649671348 | Dlp Conemaugh Memorial Medical Center LLC | Anesthesiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-12 |
| 1669873881 | Dlp Conemaugh Memorial Medical Center LLC | Pediatrics | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-07 |
| 1598899387 | Dlp Conemaugh Memorial Medical Center LLC | Pharmacy | 1086 Franklin St, Pharmacy Department, Johnstown, PA 15905-4305 | 2007-03-15 |
| 1215000872 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 320 Main Street, Johnstown, PA 15901-4305 | 2006-11-15 |
| 1598842627 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-11-01 |
| 1164509261 | Dlp Conemaugh Memorial Medical Center LLC | Skilled Nursing Facility | 320 Main St, Johnstown, PA 15901-1601 | 2006-11-01 |
| 1780769620 | Dlp Conemaugh Memorial Medical Center LLC | Clinic/Center | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-10-26 |
| Street Address |
320 MAIN ST 4TH FLOOR |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617674 | Conemaugh Health Initiatives | Psychiatry & Neurology | 320 Main St, Johnstown, PA 15901-1601 | 2005-05-27 |
| 1306368196 | Zachary Mailman | Physician Assistant | 320 Main St, Johnstown, PA 15901-1601 | 2017-07-12 |
| 1922349075 | Conemaugh Valley Memorial Hospital | Psychiatric Unit | 320 Main St, Johnstown, PA 15901-1601 | 2013-03-13 |
| 1770857401 | Conemaugh Health Initiatives | Psychologist | 320 Main St, 2nd Floor, Johnstown, PA 15901-1601 | 2012-02-27 |
| 1396026480 | Chelsa A Polonia | Physician Assistant | 320 Main St, 2nd Fl, Johnstown, PA 15901-1601 | 2011-09-01 |
| 1053630061 | Alane J Knapp | Social Worker | 320 Main St, 2nd Fl, Johnstown, PA 15901-1601 | 2010-06-01 |
| 1366694754 | Brandy Lynn Day | Physician Assistant | 320 Main St, 2nd Floor, Johnstown, PA 15901-1601 | 2008-10-16 |
| 1326296377 | Ryan Patrick Dunne | Psychologist | 320 Main St, 2nd Floor, Johnstown, PA 15901-1601 | 2008-09-03 |
| 1871741272 | Eileen Tyler Fiorina | Dietitian, Registered | 320 Main St, Johnstown, PA 15901-1601 | 2008-08-28 |
| 1386805554 | Elena Gary | Dietitian, Registered | 320 Main St, Johnstown, PA 15901-1601 | 2008-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540758 | Valley Vision Care | Optometrist | 132 Market St., Johnstown, PA 15901 | 2016-10-26 |
| 1649515552 | Nulton Diagnostic & Treatment Center, PC. | Community/Behavioral Health | 110 Franklin Street, Suite 100, Johnstown, PA 15901 | 2012-12-04 |
| 1811126113 | Paul Richard Hoover | Counselor | 131 Market Street, Johnstown, PA 15901 | 2009-07-08 |
| 1013128495 | Subarna Hamid Eisaman | Internal Medicine | 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 | 2007-05-25 |
| 1912049115 | Charles G Shea Dmd PC | Dentist | 225 Vine St, Johnstown, PA 15901 | 2007-02-13 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| 1659458396 | Joseph Andrew Balaschak | Dentist | 216 Dibert Street, Johnstown, PA 15901 | 2006-11-01 |
| 1306951561 | Barry James Senior | Dentist | 248 Vine Street, Johnstown, PA 15901 | 2006-08-20 |
| 1316979396 | Vicki Hess | Social Worker | 417 Main Street, Johnstown, PA 15901 | 2006-07-07 |
| 1043270143 | Highland R Campbell Jr. | Emergency Medicine | 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 | 2006-03-24 |
| Find all providers in zip 15901 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104271493 | Alyssa Hoffee | Rehabilitation Unit | 904 Beaver Grade Rd, Coraopolis, PA 15108-2716 | 2016-04-25 |
| 1316211865 | Back In Line Chiropractic and Wellness Center, PC | Rehabilitation Unit | 300 Cattell St Fl 1, Easton, PA 18042-7606 | 2012-03-01 |
| 1588969307 | Wellspan Specialty Services | Rehabilitation Unit | 55 Monument Rd., York, PA 17403 | 2011-01-26 |
| 1821301888 | Occupational & Hand Therapy Specialists | Rehabilitation Unit | 1495 S Queen St, York, PA 17403-3852 | 2010-07-20 |
| 1124269261 | Temple University Hospital | Rehabilitation Unit | 612 W Naomi St, Philadelphia, PA 19144-3711 | 2009-03-19 |
| 1861469355 | Keller Army Community Hospital | Rehabilitation Unit | 11 Hap Arnold Blvd, Health Clinic, Tobyhanna, PA 18466-5002 | 2006-03-02 |
| 1629075791 | Acadia, Inc. | Rehabilitation Unit | 1817 Olde Homestead Ln, Suite 201, Lancaster, PA 17601-6751 | 2005-07-05 |
| 1780686931 | St Mary Medical Center | Rehabilitation Unit | 1201 Langhorne-newtown Rd, Langhorne, PA 19047-1295 | 2005-06-01 |
| 1487287488 | Acute Rehab Center At Guthrie Towanda Memorial Hospital | Rehabilitation Unit | 91 Hospital Dr, Towanda, PA 18848-9702 | 2020-02-18 |
| 1255823845 | Schuylkill Medical Center - South Jackson Street | Rehabilitation Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.