Provider Demographics
NPI:1740683424
Name:COUNTY OF LEHIGH PENNSYLVANIA
Entity type:Organization
Organization Name:COUNTY OF LEHIGH PENNSYLVANIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:610-395-3727
Mailing Address - Street 1:350 S CEDARBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5708
Mailing Address - Country:US
Mailing Address - Phone:610-395-3727
Mailing Address - Fax:610-395-0412
Practice Address - Street 1:350 S CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5708
Practice Address - Country:US
Practice Address - Phone:610-395-3727
Practice Address - Fax:610-395-0412
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEHIGH CO CHIEF EX OFF
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAA08008670OtherMEDICARE DMERC
PA0005757700003Medicaid
PA1648OtherBLUE SHIELD
PA0005757700002Medicaid
PAA08008670OtherMEDICARE DMERC
PA0880250001Medicare NSC