1366802647 NPI number — LEHIGH VALLEY HOSPITAL

Table of content: (NPI 1366802647)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366802647 NPI number — LEHIGH VALLEY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEHIGH VALLEY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HEALTH SPECTRUM PHARMACY SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366802647
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1247 S CEDAR CREST BLVD
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18103-6298
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-402-1852
Provider Business Mailing Address Fax Number:
610-402-1802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1247 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6298
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-402-1852
Provider Business Practice Location Address Fax Number:
610-402-1802
Provider Enumeration Date:
03/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TOCCI
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
ARTHUR
Authorized Official Title or Position:
DIRECTOR, BUSINESS OPERATIONS
Authorized Official Telephone Number:
610-402-5250

Provider Taxonomy Codes

  • Taxonomy code: 3336H0001X , with the licence number:  PP481145 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PP481145 . This is a "PA PHARMACY LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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