=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609312792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEHIGH VALLEY HOSPITAL MUHLENBERG
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2017
-----------------------------------------------------
Last Update Date | 12/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2545 SCHOENERSVILLE RD INPATIENT REHABILITATION CENTER-MUHLENBERG
-----------------------------------------------------
City | BETHLEHEM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18017-7300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-402-8000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4000 2100 MACK BLVD - 4TH FLOOR
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18105-4000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-884-0841
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SR VP & CFO
-----------------------------------------------------
Name | THOMAS MARCHOZZI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 484-862-3943
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 273Y00000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Hospital Unit
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------