SACRED HEART HEALTHCARE SYSTEM NPI 1023079886

NPI Information

NPI: 1023079886
Provider Name: SACRED HEART HEALTHCARE SYSTEM

Doing Business As: SACRED HEART PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
3570 HAMILTON BLVD
SUITE 201
ALLENTOWN, PA
ZIP 18103
Phone: (610) 433-7481
Get Directions

SACRED HEART HEALTHCARE SYSTEM is a family medicine in Allentown, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SACRED HEART HEALTHCARE SYSTEM NPI is 1023079886. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sacred Heart Primary Care.

The provider's business location address is:

3570 HAMILTON BLVD
SUITE 201
ALLENTOWN, PA
ZIP 18103-541
Phone: (610) 433-7481
Fax: (610) 433-3991

The provider's authorized official is Stephen A Lanshe .
The authorized official title is Vp Legal Affairs and has the following contact phone number (610) 776-5141.

The CLIA number assigned to this NPI record is 39D0688164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 2/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03162800	OTHER	PENNSYLVANIA	CBC GROUP NUMBER
2	5265574	OTHER		AETNA PPO
3	334203	OTHER	PENNSYLVANIA	HIGHMARK BLS GROUP NUMBER
4	1519302	OTHER		GATEWAY HEALTH PLAN
5	034275	MEDICARE PIN	PENNSYLVANIA
6	0125575	OTHER		AETNA HMO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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