| White Deer Run - Lehigh | |
|
1620 Riverside Dr Bethlehem PA 18015 | |
| (570) 538-3302 | |
| Not Available |
| Full Name | White Deer Run - Lehigh |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1620 Riverside Dr, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Christopher Howard (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Deer Run - Lehigh 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: (615) 861-6000 | White Deer Run - Lehigh 1620 Riverside Dr Bethlehem PA 18015 Ph: (570) 538-3302 |
| NPI Number | 1629322797 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629322797 | NPI | - | NPPES |
| 100756787 | Medicaid | PA | |
| 100756787 0102 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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