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NPI Code Detail

MEDICARE: SACRED HEART HEALTHCARE SYSTEM

MEDICARE: SACRED HEART HEALTHCARE SYSTEM
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11526559OTHERGATEWAY HEALTH PLAN
220051975OTHERAMERIHEALTH MERCY HEALTH
31233437OTHERAETNA HMO
42695601001OTHERIBC
550063077OTHERCBC
67059781OTHERAETNA PPO
71835377OTHERHIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1932169885
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED HEART HEALTHCARE SYSTEM
Provider Business Mailing Address
First Line : 421 W CHEW ST
Second Line : PHYSICIAN ACCOUNTS
City : ALLENTOWN
State : PA
Zip : 18102-3406
Country : US
Telephone Number : 610-776-5100
Fax Number : 610-663-3113
Provider Business Practice Location Address
First Line : 2416 3RD ST
Second Line :
City : WHITEHALL
State : PA
Zip : 18052-4822
Country : US
Telephone Number : 610-264-2188
Fax Number : 610-264-3391
Authorized Official
Title or Position : VP LEGAL AFFAIRS
Name : MR. STEPHEN A LANSHE
Credential :
Telephone Number : 610-776-5141
Provider Enumeration Date : 03/24/2006
Last Update Date : 02/25/2009

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Directions to “SACRED HEART HEALTHCARE SYSTEM ” Practice Location

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