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Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Other names
Zionsville Family Practice
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
5802 CHESTNUT ST, ZIONSVILLE, PA 18092-2105
(610) 965-9100
(610) 967-9609
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
—
0178860001
IBC
—
01
—
03161000
CBC GROUP NUMBER
PA
01
—
0550891
AETNA HMO
—
01
—
1521933
GATEWAY
—
01
—
174971
HIGHMARK BS GROUP NUMBER
PA
01
—
5936066
AETNA PPO
—
Enumeration date
03/29/2006
Last updated
02/25/2009
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