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Organization

SACRED HEART HEALTHCARE SYSTEM

Active
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Organization

SACRED HEART HEALTHCARE SYSTEM

Active
Other names
Sacred Heart Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPEHN LANSHE (VP LEGAL AFFAIRS)
(610) 776-5141
Entity
Organization

Contact information

Practice address
421 W CHEW ST, SACRED HEART HOSPITAL, ALLENTOWN, PA 18102-3406
(610) 776-5100
(610) 663-3113
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
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03162700
CBC GROUP NUMBER
PA
01
0459718
AETNA HMO
01
1052000
AMERIHEALTH MERCY HEALTH
01
1554703
GATEWAY
01
1961959
HIGHMARK BLUE SHIELD
01
5212022
AETNA PPO
01
CJ0825
RR MEDICARE #
Enumeration date
10/24/2005
Last updated
02/25/2009
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