| Lehigh Valley Hospital - Schuylkill | |
|
420 S Jackson St Pottsville PA 17901-3625 | |
| (570) 621-5000 | |
| (570) 621-8221 |
| Full Name | Lehigh Valley Hospital - Schuylkill |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 420 S Jackson St, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Thomas Marchozzi (SR VP & CFO) |
| Authorized Official Contact | 4848623943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Valley Hospital - Schuylkill Po Box 4120 Allentown PA 18105-4120 Ph: (484) 884-0841 | Lehigh Valley Hospital - Schuylkill 420 S Jackson St Pottsville PA 17901-3625 Ph: (570) 621-5000 |
| NPI Number | 1548269632 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 4183525959 |
|---|---|
| Medicare Enrollment ID | O20090202000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548269632 | NPI | - | NPPES |
| 100760725-0011 | Medicaid | PA | |
| 39-S030 | Other | PA | CAPITAL BLUE CROSS |
| 1498 | Other | PA | HIGHMARK/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 421001 (Pennsylvania) | Primary |
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Clinical Social Worker Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 396 S. Centre Street, Pottsville, PA 17901 Phone: 570-640-3744 | |
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Lehigh Valley Hospital - Schuylkill S. Jackson Street Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 E Norwegian St, Pottsville, PA 17901 Phone: 570-621-5093 | |
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