Healthcare Provider Details

I. General information

NPI: 1053373548
Provider Name (Legal Business Name): SACRED HEART HEALTHCARE SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 N 4TH ST
ALLENTOWN PA
18102-1852
US

IV. Provider business mailing address

421 W CHEW ST PHYSICIAN ACCOUNTS
ALLENTOWN PA
18102-3406
US

V. Phone/Fax

Practice location:
  • Phone: 610-434-8801
  • Fax: 610-433-0205
Mailing address:
  • Phone: 610-776-5100
  • Fax: 610-663-3113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN A LANSHE
Title or Position: VP LEGAL AFFAIRS
Credential:
Phone: 610-776-5141