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1235138405

NPI Code Detail

MEDICARE: LEHIGH VALLEY HOSPITAL - SCHUYLKILL

MEDICARE: LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital
2	282NR1301X	Rural Acute Care Hospital
3	282NR1301X	Rural Acute Care Hospital	421001	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1497	OTHER	PA	HIGHMARK/BLUE SHIELD
3	39-0030	OTHER	PA	CAPITAL BLUE CROSS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235138405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Provider Business Mailing Address
First Line	:	PO BOX 4120
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18105-4120
Country	:	US
Telephone Number	:	484-884-3219
Fax Number	:	484-884-3392

Provider Business Practice Location Address
First Line	:	420 S JACKSON ST
Second Line	:
City	:	POTTSVILLE
State	:	PA
Zip	:	17901-3625
Country	:	US
Telephone Number	:	570-621-5000
Fax Number	:	570-622-8221

Authorized Official
Title or Position	:	REGIONAL CFO
Name	:	ROBERT THOMAS
Credential	:
Telephone Number	:	484-884-0901

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	11/17/2025

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Directions to “LEHIGH VALLEY HOSPITAL - SCHUYLKILL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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