Provider Demographics
NPI:1649408758
Name:CITY O F ALLENTOWN
Entity Type:Organization
Organization Name:CITY O F ALLENTOWN
Other - Org Name:BUREAU OF HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:KISTLER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:610-437-7708
Mailing Address - Street 1:245 N. 6TH STREET
Mailing Address - Street 2:ALLENTOWN HEALTH BUREAU
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-4128
Mailing Address - Country:US
Mailing Address - Phone:610-437-7760
Mailing Address - Fax:610-437-8799
Practice Address - Street 1:245 N 6TH ST
Practice Address - Street 2:ALLENTOWN HEALTH BUREAU
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-4168
Practice Address - Country:US
Practice Address - Phone:610-437-7760
Practice Address - Fax:610-437-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA780309Medicare PIN