Provider Demographics
NPI:1619195112
Name:LOWER BUCKS HOSPITAL
Entity Type:Organization
Organization Name:LOWER BUCKS HOSPITAL
Other - Org Name:LBH PHYSICIAN GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-785-9325
Mailing Address - Street 1:501 BATH RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-3101
Mailing Address - Country:US
Mailing Address - Phone:215-785-9200
Mailing Address - Fax:215-785-9039
Practice Address - Street 1:1 WOODHAVEN MALL
Practice Address - Street 2:1336 BRISTOL PIKE, SUITE 201
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5607
Practice Address - Country:US
Practice Address - Phone:215-639-3911
Practice Address - Fax:215-639-5292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000348728OtherHIGHMARK BLUE SHIELD
PA0776018000OtherIBC
PA100745380 002Medicaid
PA30012055OtherKEYSTONE MERCY
PA100745380 002Medicaid