Organization Name: | DLP CONEMAUGH MEYERSDALE MEDICAL CENTER LLC |
NPI Number: | 1124460068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY G SERAPHINE (PRESIDENT) |
Mailing Address: | 312 Industrial Park Rd Meyersdale |
State: | PA US |
Postal Code: | 155527290 |
Phone Number: | 8146345954 |
Fax Number: | 8146349187 |
NPI Enumeration Date: | 07/19/2013 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 391101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |