Organization
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
Active
Other names
Schuylkill Medical Center - South Jackson Street
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMAS (REGIONAL CFO)
(484) 884-0901
Entity
Organization
Contact information
Practice address
502 S 2ND ST, SAINT CLAIR, PA 17970-1362
(570) 622-5898
(570) 621-4215
Mailing address
502 S 2ND ST., SUITE A, SAINT CLAIR, PA 17970-1362
(570) 622-5898
(570) 621-4215
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
541024
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007604490004
—
PA
01
—
1122155
CIGNA BEHAVIORAL HEALTH
PA
01
—
1508
BLUE SHIELD OF PA
PA
01
—
320758
VALUE OPTIONS
PA
01
—
39A031
BLUE CROSS OF PA
PA
Enumeration date
04/26/2006
Last updated
04/25/2025
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