NPIMap

Organization Active NPI

Lehigh Valley Hospital - Schuylkill

Doing business as Lehigh Valley Hospital Schuylkill S Jackson Street

  • Rural Acute Care Hospital
  • Pottsville, PA
National Provider Identifier
1235138405
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
421001 Issued in PA
Legal business name
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
Doing business as
Lehigh Valley Hospital Schuylkill S Jackson Street
Practice address
420 S Jackson St
Pottsville, PA 17901-3625
Phone
(570) 621-5000
Fax
(570) 622-8221
NPI assigned
Jul 19, 2005
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Robert Thomas
Title
Regional Cfo
Phone
(484) 884-0901

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Rural Acute Care Hospital 282NR1301X 421001 PA Primary
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

420 S Jackson St
Pottsville, PA 17901-3625

Mailing address

PO Box 4120
Allentown, PA 18105-4120
Phone (484) 884-3219

Other practice location 1

700 E Norwegian St
Pottsville, PA 17901-2710
Phone (570) 621-4000

Other names 2

  • Lehigh Valley Hospital Schuylkill S Jackson Street Doing business as
  • The Pottsville Hospital and Warne Clinic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000618 PA Part A Provider - Hospital 4183525959 1 other NPI on this enrollment
Practice locations: Pottsville, PA; Tamaqua, PA; Schuylkill Haven, PA; Hazleton, PA; Frackville, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235138405. Details of each certification follow.

Hospital certification: CCN 390030

Legal name
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
Doing business as
LEHIGH VALLEY HOSPITAL SCHUYLKILL S JACKSON STREET
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 14, 2023
Beds
187 (175 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1964 in PA
Enrollment address
420 S Jackson St
Pottsville, PA 17901-3625
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Schuylkill Medical Center - South Jackson StreetCCN 390030 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pottsville Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

100 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-5010

100 Schuylkill Medical Plz
Ste 206
Pottsville, PA 17901
Phone (570) 621-5630

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Jefferson University Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2025 50%
Robert Joseph Thurick Individual Corporate Officer Jan 1, 2025
Robert Begliomini Individual Corporate OfficerBoard Member Jul 1, 2025
Edna Smith Individual Corporate OfficerTreasurer Effective 07/01/2013 M Jul 1, 2013
Corporate DirectorTreasurer Effective 07/01/2013 M Jul 1, 2012
Darnell Furer Individual Corporate Director Jan 30, 2017
Antoinette L Everdale Individual Corporate Officer Jan 1, 2025
Timothy Twardzik Individual Corporate DirectorSecretary Aug 27, 2012
Jefferson Health Corporation Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2025 50%
Brock Stein Individual Corporate Officer Jan 1, 2025
William Jr Kirwan Individual Corporate OfficerChair Sep 26, 2016
John Tarson Individual Corporate Officer Jan 1, 2025
Allison Miller Individual W-2 Managing EmployeeOther Sep 1, 2022
Diane Boris Individual Corporate OfficerTreasurer Jan 1, 2025
Franklin K Schoeneman Individual Corporate DirectorDirector Aug 1, 2008
Debra Blaschak Individual Corporate OfficerSecretary N/a Effective 3/1/2019 Mar 1, 2019
Corporate Director Aug 1, 2008
Timothy J Friel Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Lee Thomas Individual W-2 Managing EmployeeRegional Cfo Jan 1, 2025
Terrence Purcell Individual Corporate OfficerPresident Jan 1, 2025
Anthony Baran Individual Corporate OfficerChairman N/a Effective 9/25/2016 Sep 26, 2016
Corporate Director Aug 1, 2008
Jeanne Porter Individual Corporate DirectorVice Chair Aug 27, 2012
Stephen Molitoris Individual Corporate OfficerVP, Reimbursement & Revenue Jan 1, 2019
W-2 Managing EmployeeVP, Reimbursement & Revenue Jan 1, 2019
Harry M Ciavarella Individual Corporate Officer Jan 1, 2025
Ranju Gupta Individual Corporate Officer Jan 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

Affiliated clinicians 729

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 729

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1235138405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4120",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181054120",
            "telephone_number": "484-884-3219",
            "fax_number": "484-884-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013625",
            "telephone_number": "570-621-5000",
            "fax_number": "570-622-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Norwegian St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179012710",
            "country_code": "US",
            "telephone_number": "570-621-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL - SCHUYLKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "484-884-0901"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PA",
            "license": "421001",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Valley Hospital Schuylkill S Jackson Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pottsville Hospital and Warne Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.