Organization
LEHIGH VALLEY HOSPITAL SCHUYLKILL
Active
Other names
The Pottsville Hospital and Warne Clinic (Home Health)
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THOMAS (REGIONAL CFO)
(484) 884-0901
Entity
Organization
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5000
(570) 622-8221
Mailing address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5000
(570) 622-8221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
421001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760725-0010
—
PA
01
—
1499
HIGHMARK/BLUE SHIELD
PA
01
—
39-7214
CAPITAL BLUE CROSS
PA
Enumeration date
07/20/2005
Last updated
04/25/2025
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