Provider Demographics
NPI:1659535870
Name:CITY OF ALLENTOWN CITY TREASURY ROOM 110
Entity Type:Organization
Organization Name:CITY OF ALLENTOWN CITY TREASURY ROOM 110
Other - Org Name:BUREAU OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, ALLENTOWN HEALTH BUREAU
Authorized Official - Prefix:MS
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 1:435 HAMILTON ST
Mailing Address - Street 2:ALLENTOWN HEALTH BUREAU
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1603
Mailing Address - Country:US
Mailing Address - Phone:610-437-7760
Mailing Address - Fax:610-437-8799
Practice Address - Street 1:245 N. 6TH STREET
Practice Address - Street 2:ALLENTOWN HEALTH BUREAU
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102
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:2008-07-16
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAL780309OtherMEDICARE
PA780309Medicare PIN