Healthcare Provider Details

I. General information

NPI: 1538237722
Provider Name (Legal Business Name): SACRED HEART HOSPITAL OF ALLENTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 CHEW STREET
ALLENTOWN PA
18102-3490
US

IV. Provider business mailing address

421 CHEW STREET
ALLENTOWN PA
18102-3490
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-4594
  • Fax: 610-776-5351
Mailing address:
  • Phone: 610-776-4594
  • Fax: 610-776-5351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number195501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number195501
License Number StatePA

VIII. Authorized Official

Name: MRS. LAURIE H GOMBERT
Title or Position: V.P. FINANCE
Credential:
Phone: 617-776-4713