Basic Information
| Provider Information | |||||||||
| NPI: | 1841261237 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LEHIGH VALLEY HOSPITAL | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | LEHIGH VALLEY HOSPICE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4000 2100 MACK BLVD | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181054000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848840841 | ||||||||
| FaxNumber: | 4848843197 | ||||||||
| Practice Location | |||||||||
| Address1: | 2024 LEHIGH ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181034938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104027800 | ||||||||
| FaxNumber: | 6104027914 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2006 | ||||||||
| LastUpdateDate: | 05/01/2018 | ||||||||
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| AuthorizedOfficialLastName: | MARCHOZZI | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | EVP & CFO | ||||||||
| AuthorizedOfficialTelephone: | 4848623943 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 315D00000X | 152199 | PA | N | Nursing & Custodial Care Facilities | Hospice, Inpatient | 251G00000X | 152199 | PA | Y | Agencies | Hospice Care, Community Based |
No ID Information.