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Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Other names
Hanover Family Medical Group
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
1210 HANOVER AVE, ALLENTOWN, PA 18109-2017
(610) 437-6490
(610) 437-4151
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
—
0006472
AETNA HMO
—
01
—
0218423001
IBC
—
01
—
02400200
CBC GROUP #
PA
01
—
1519695
GATEWAY ASSURED
—
01
—
47661
AMERIHEALTH MERCY HEALTH
—
01
—
564229
HIGHMARK BLS GROUP #
PA
01
—
5844495
AETNA PPO
—
Enumeration date
03/24/2006
Last updated
02/25/2009
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