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Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Other names
Susquehanna Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A LANSHE (VP LEGAL AFFAIRS)
(610) 776-5141
Entity
Organization
Contact information
Practice address
124 E SUSQUEHANNA ST, ALLENTOWN, PA 18103-5138
(610) 797-1600
(610) 797-1355
Mailing address
421 W CHEW ST, PHYSICIAN ACCOUNTS, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1545714
GATEWAY HEALTH PLAN
—
01
—
1680744
HIGHMARK BLS GROUP NUMBER
PA
01
—
20043807
AMERIHEALTH MERCY HEALTH
—
01
—
2356859001
IBC
—
01
—
3810828
AETNA HMO
—
01
—
50047883
CBC GROUP NUMBER
PA
01
—
7661623
AETNA PPO
—
Enumeration date
04/03/2006
Last updated
02/25/2009
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