Organization
SACRED HEART HEALTHCARE SYSTEM
Active
Other names
Sacred Heart Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A LANSHE (VP LEGAL AFFAIRS)
(610) 776-5100
Entity
Organization
Contact information
Practice address
450 W CHEW ST, SIGAL CENTER 2ND FLOOR PEDS ASSOCIATES, ALLENTOWN, PA 18102-3434
(610) 776-5160
(610) 606-4476
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
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098942
AETNA HMO
—
01
—
03161500
CBC GROUP #
PA
01
—
0869773001
IBC
—
01
—
1019770
AMERIHEALTH MERCY HEALTH
—
01
—
1554755
GATEWAY
—
01
—
4521958
AETNA PPO
—
01
—
837784
HIGHMARK BLS GROUP #
PA
Enumeration date
03/31/2006
Last updated
02/25/2009
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