Provider Demographics
NPI:1326477951
Name:PALMERTON HOSPITAL
Entity Type:Organization
Organization Name:PALMERTON HOSPITAL
Other - Org Name:THE SUMMIT NURSING & REHABILITATION CENTER AT PALMERTON HOSPITA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-377-7003
Mailing Address - Street 1:211 NORTH 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235
Mailing Address - Country:US
Mailing Address - Phone:610-377-7059
Mailing Address - Fax:610-377-7618
Practice Address - Street 1:135 LAFAYETTE AVENUE
Practice Address - Street 2:
Practice Address - City:PALMERTON
Practice Address - State:PA
Practice Address - Zip Code:18071
Practice Address - Country:US
Practice Address - Phone:610-377-7154
Practice Address - Fax:610-377-7939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility