Provider Demographics
NPI:1053440073
Name:LEHIGH VALLEY HOSPITAL
Entity Type:Organization
Organization Name:LEHIGH VALLEY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, REIMBURSEMENT & REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLITORIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-884-0974
Mailing Address - Street 1:1249 S CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6259
Mailing Address - Country:US
Mailing Address - Phone:610-402-0841
Mailing Address - Fax:610-402-3197
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-8000
Practice Address - Fax:610-402-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X
PA530201261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007660210022Medicaid
PA1007660210022Medicaid