Organization Active NPI

Gnaden Huetten Memorial Hospital

Doing business as Carbon County Family Planning Clinic

  • Ambulatory Family Planning Facility
  • Lehighton, PA
National Provider Identifier
1184899841
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
070501 Issued in PA
Legal business name
GNADEN HUETTEN MEMORIAL HOSPITAL
Doing business as
Carbon County Family Planning Clinic
Practice address
204 State Rd
Lehighton, PA 18235-2827
Phone
(610) 377-7060
Fax
(610) 377-7361
NPI assigned
Apr 24, 2008
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea L. Andrae
Title
Cfo
Phone
(610) 377-7003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 070501 PA Primary

Addresses

Primary practice location

204 State Rd
Lehighton, PA 18235-2827

Mailing address

211 North 12TH Street
Finance Office
Lehighton, PA 18235-1596
Phone (610) 377-7003

Other identifiers 1

IdentifierTypeStateIssuer
1004958310044MedicaidPA

Other names 1

  • Carbon County Family Planning Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gnaden Huetten Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1184899841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NORTH 12TH STREET",
            "address_2": "FINANCE OFFICE",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351596",
            "telephone_number": "610-377-7003",
            "fax_number": "610-377-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STATE RD",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352827",
            "telephone_number": "610-377-7060",
            "fax_number": "610-377-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNADEN HUETTEN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDRAE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-377-7003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "PA",
            "license": "070501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004958310044",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carbon County Family Planning Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.