Organization
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
Active
Other names
The Pottsville Hospital and Warne Clinic Psychiatric Unit
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MARCHOZZI (SR VP & CFO)
(484) 862-3943
Entity
Organization
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5000
(570) 621-8221
Mailing address
PO BOX 4120, ALLENTOWN, PA 18105-4120
(484) 884-0841
(484) 884-3392
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
421001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760725-0011
—
PA
01
—
1498
HIGHMARK/BLUE SHIELD
PA
01
—
39-S030
CAPITAL BLUE CROSS
PA
Enumeration date
07/20/2005
Last updated
01/09/2025
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