Healthcare Provider Details

I. General information

NPI: 1891753802
Provider Name (Legal Business Name): LEHIGH VALLEY HOSPITAL MUHLENBERG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SCHOENERSVILLE BEHAVIORAL HEALTH SCIENCE CENTER; FIRST FLOOR
BETHLEHEM PA
18017
US

IV. Provider business mailing address

2545 SCHOENERSVILLE RD 1ST FLOOR
BETHLEHEM PA
18017-7300
US

V. Phone/Fax

Practice location:
  • Phone: 484-884-5690
  • Fax: 484-884-5802
Mailing address:
  • Phone: 610-402-0841
  • Fax: 610-402-3197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number920530
License Number StatePA

VIII. Authorized Official

Name: THOMAS MARCHOZZI
Title or Position: SR VP & CFO
Credential:
Phone: 484-862-3943