1073510616 NPI number — LEHIGH VALLEY HEALTH NETWORK EMERGENCY MEDICAL SERVICES

Table of content: (NPI 1073510616)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073510616 NPI number — LEHIGH VALLEY HEALTH NETWORK EMERGENCY MEDICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEHIGH VALLEY HEALTH NETWORK EMERGENCY MEDICAL SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073510616
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 MACK BLVD
Provider Second Line Business Mailing Address:
PO BOX 4000
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-884-3025
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
965 GILBERT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EFFORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-681-5810
Provider Business Practice Location Address Fax Number:
610-681-5643
Provider Enumeration Date:
06/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MARCHOZZI
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
EXEC. VP & CFO
Authorized Official Telephone Number:
484-862-3943

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0007034950004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000281292 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20020209 . This is a "AMERIHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30812 . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 514290 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7310352 . This is a "COVENTRY CARES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: A911767 . This is a "OXFORD HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0013820 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 073854 . This is a "FIRST PRIORITY HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 881292 . This is a "ICHP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1535842 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6025400 . This is a "APWU HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7946 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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