MEDICARE: LEHIGH VALLEY HOSPITAL POCONO

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	273R00000X	Psychiatric Hospital Unit
2	282N00000X	General Acute Care Hospital	072001	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	64492	OTHER	PA	MED PLUS(THREE RIVERS HP)
4	0001455	OTHER	PA	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	390201	OTHER	PA	BLUE CROSS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	25761	OTHER	PA	GEISINGER HEALTH PLAN
10	39S201	OTHER	PA	PSYCH
11	800053	OTHER	PA	FIRST PRIORITY HEALTH

General Provider Information

NPI Number	:	1568459436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEHIGH VALLEY HOSPITAL POCONO

Provider Business Mailing Address
First Line	:	206 E BROWN ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-3006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 E BROWN ST
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-3006
Country	:	US
Telephone Number	:	570-420-4923
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ACCOUNTING OFFICER
Name	:	ROBERT THOMAS
Credential	:
Telephone Number	:	484-884-0901

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	10/01/2025

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Directions to “LEHIGH VALLEY HOSPITAL POCONO ” Practice Location

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