MEDICARE: DLP CONEMAUGH PHYSICIAN PRACTICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1427464874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DLP CONEMAUGH PHYSICIAN PRACTICES LLC

Provider Business Mailing Address
First Line	:	3670 PORTAGE ST
Second Line	:	STE 105
City	:	PORTAGE
State	:	PA
Zip	:	15946-6546
Country	:	US
Telephone Number	:	814-736-9614
Fax Number	:	814-736-9783

Provider Business Practice Location Address
First Line	:	3670 PORTAGE ST
Second Line	:	STE 105
City	:	PORTAGE
State	:	PA
Zip	:	15946-6546
Country	:	US
Telephone Number	:	814-736-9614
Fax Number	:	814-736-9783

Authorized Official
Title or Position	:	SECRETARY
Name	:	CHARLOTTE LAWRENCE
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	10/10/2024

Similar Medicare Providers

1669479101 — MARK J RATCHFORD DO
Practice Location Address:

3670 PORTAGE ST
PORTAGE, PA
15946-6546

Practice Phone: 814-736-9614
Practice Fax: 814-736-9783

1134113368 — AMINA SHIKARA MD
Practice Location Address:

3670 PORTAGE ST
PORTAGE, PA
15946-6546

Practice Phone: 814-736-9614
Practice Fax: 814-736-9783

1710056015 — CONEMAUGH HEALTH INITIATIVES
Practice Location Address:

3670 PORTAGE ST
PORTAGE, PA
15946-6546

Practice Phone: 814-736-9614
Practice Fax: 814-736-9783

1043357577 — SUSAN BERARDINELLI PA-C
Practice Location Address:

3670 PORTAGE ST
PORTAGE, PA
15946-6546

Practice Phone: 814-736-9614
Practice Fax: 814-736-9783

1821130535 — CONEMAUGH HEALTH INITIATIVES
Practice Location Address:

3670 PORTAGE ST , SUITE 105
PORTAGE, PA
15946-6546

Practice Phone: 814-736-9614
Practice Fax:

1134256415 — CONEMAUGH HEALTH INITIATIVES
Practice Location Address:

3670 PORTAGE ST , SUITE 105
PORTAGE, PA
15946-6546

Practice Phone: 814-736-3321
Practice Fax:

Directions to “DLP CONEMAUGH PHYSICIAN PRACTICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.