Provider Demographics
NPI:1841223062
Name:LEHIGH VALLEY HOSPITAL, INC
Entity Type:Organization
Organization Name:LEHIGH VALLEY HOSPITAL, INC
Other - Org Name:LEHIGH VALLEY HOSPITAL AND HEALTH NETWORK
Other - Org Type:Other Name
Authorized Official - Title/Position:SR VP & CFO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-862-3943
Mailing Address - Street 1:2100 MACK BLVD, PO BOX 4000
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-4000
Mailing Address - Country:US
Mailing Address - Phone:484-884-3025
Mailing Address - Fax:484-884-3197
Practice Address - Street 1:1255 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE #1500
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6256
Practice Address - Country:US
Practice Address - Phone:610-402-5930
Practice Address - Fax:610-821-2047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA920300261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA390133Medicare ID - Type UnspecifiedMEDICARE