Provider Demographics
NPI:1972627784
Name:WORK RECOVERY CENTER
Entity Type:Organization
Organization Name:WORK RECOVERY CENTER
Other - Org Name:PARKWAY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-760-1520
Mailing Address - Street 1:2718 W LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4734
Mailing Address - Country:US
Mailing Address - Phone:610-437-6970
Mailing Address - Fax:
Practice Address - Street 1:1597 LEHIGH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-3813
Practice Address - Country:US
Practice Address - Phone:610-791-3801
Practice Address - Fax:610-791-4581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002185L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty