Provider Demographics
NPI:1083186076
Name:THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Other - Org Name:ST. LUKE'S MINERS HEALTH CENTER LANSFORD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTENWALNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-526-3383
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:484-526-8046
Mailing Address - Fax:833-213-6428
Practice Address - Street 1:100 W PATTERSON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:LANSFORD
Practice Address - State:PA
Practice Address - Zip Code:18232
Practice Address - Country:US
Practice Address - Phone:272-639-5020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-02
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty