1841429529 NPI number — NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841429529 NPI number — NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
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:
VIDA NUEVA AT CASA GUADALUPE
Provider Other Organization Name Type Code:
5
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:
1841429529
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
635 E BROAD ST FL 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18018-6332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-820-7605
Provider Business Mailing Address Fax Number:
610-433-4707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
218 N 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18102-3508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-841-8400
Provider Business Practice Location Address Fax Number:
610-841-8401
Provider Enumeration Date:
07/02/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HADDAD
Authorized Official First Name:
PAULA
Authorized Official Middle Name:
P
Authorized Official Title or Position:
BILLING
Authorized Official Telephone Number:
610-820-7605

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  MD062907L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1023235130002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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