Healthcare Provider Details

I. General information

NPI: 1831363498
Provider Name (Legal Business Name): CITY OF BETHLEHEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E CHURCH ST
BETHLEHEM PA
18018-6025
US

IV. Provider business mailing address

10 E CHURCH ST
BETHLEHEM PA
18018-6025
US

V. Phone/Fax

Practice location:
  • Phone: 610-865-7087
  • Fax: 610-865-7326
Mailing address:
  • Phone: 610-865-7087
  • Fax: 610-865-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS SUSAN BENAY BERGER
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 610-865-7083