| Organization Name: | MEMORIAL MEDICAL CENTER |
| NPI Number: | 1003010992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA ANN HASLETT (NURSE PRACTITIONER) |
| Mailing Address: | 1086 Franklin St Johnstown |
| State: | PA US |
| Postal Code: | 159054305 |
| Phone Number: | 8145349503 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2007 |
| NPI Last Update Date: | 03/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC2000X |
| License Number: | VP001816J |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Children |
| Taxonomy Definition: | |