Provider Demographics
NPI:1891753802
Name:LEHIGH VALLEY HOSPITAL MUHLENBERG
Entity Type:Organization
Organization Name:LEHIGH VALLEY HOSPITAL MUHLENBERG
Other - Org Name:
Other - Org Type:
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 1:2545 SCHOENERSVILLE RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7300
Mailing Address - Country:US
Mailing Address - Phone:610-402-0841
Mailing Address - Fax:610-402-3197
Practice Address - Street 1:2545 SCHOENERSVILLE
Practice Address - Street 2:BEHAVIORAL HEALTH SCIENCE CENTER; FIRST FLOOR
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017
Practice Address - Country:US
Practice Address - Phone:484-884-5690
Practice Address - Fax:484-884-5802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA920530261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA390263Medicare Oscar/Certification