Lehigh Valley Hospital - Schuylkill
Organization Active NPI Rural Acute Care Hospital · Pottsville, PA
NPI 1235138405 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1235138405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- 421001 (PA)
- Legal business name
- LEHIGH VALLEY HOSPITAL - SCHUYLKILL
- Practice address
- 420 S Jackson St
Pottsville, PA 17901-3625 - Phone
- (570) 621-5000
- Fax
- (570) 622-8221
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Robert Thomas
- Title
- Regional Cfo
- Phone
- (484) 884-0901
Owners & managing parties with NPI records 3
-
Timothy Friel, MD
-
Robert Joseph Thurick II, D.O.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 9
Related certifications (CCN) 2
Facilities with the same owner 27
Practitioners 31
-
Ankush Agarwal, M.D.
-
Olufemi Awosika, M.D.
-
Rahul Bhagat, M.D.
-
Daniel Bobrowski, MD
-
Babar Murtaza Choudhry, MD/OWNER
-
Ashley Costa, M.D.
-
Pavan Garala, MD
-
Sherilyn Gibbs, CNM
-
Jeanne Lorraine Gricoski, D.O.
-
David Paul Krewson, D.O.
-
Anil Kumar, M.D.
-
Frank G. Kusi, M.D.
-
Lindsey Martinez, MD
-
Susan Rachel Medalie, D.O.
-
Manish Kumar Mishra, M.D
-
Molly S Peters, M.D.
-
Jennifer Ruch, CNM
-
Vipul Sharma, MD
-
Yulia Slonova, MD
-
Calvin D Stoudt, DO
Affiliated clinicians 729
-
Scott Joseph Adams, CRNP
-
Beatrice Y Adegboyega, CRNP
-
Ankush Agarwal, M.D.
-
Waqas Ahmed, MD
-
Ghulam Akbar, M.D
-
Mohammad M Akbar, MD
-
Lori A Alfonse, D.O.
-
Sayed M Ali, MD
-
Tayyab Ali, MD
-
Jennifer Allen, M.D.
-
Haidar Alwaeli, MD
-
Brice Richard Ambron, PA-C
-
Audrey Camille Anatalio, PA-C
-
Sayed Arian, DO
-
Anthony Ascione, DO
-
Shabnam Assar, M.D.
Medicare Care Compare: Hospital
- Listed as
- Schuylkill Medical Center - South Jackson Street
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
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
- Corporation · Non-profit
- Incorporated
- Apr 1, 1964 in PA
- Enrollment address
- 420 S Jackson St
Pottsville, PA 17901-3625 - Hospital subgroups
- Acute care, Psychiatric unit, Rehabilitation unit
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas Jefferson University |
5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 50% |
| Robert Joseph Thurick |
Corporate Officer | Jan 1, 2025 | |
| Robert Begliomini |
Corporate Officer |
Jul 1, 2025 | |
| Edna Smith |
Corporate Officer |
Jul 1, 2013 | |
| Corporate Director |
Jul 1, 2012 | ||
| Darnell Furer |
Corporate Director | Jan 30, 2017 | |
| Antoinette L Everdale |
Corporate Officer | Jan 1, 2025 | |
| Timothy Twardzik |
Corporate Director |
Aug 27, 2012 | |
| Jefferson Health Corporation |
5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 50% |
| Brock Stein |
Corporate Officer | Jan 1, 2025 | |
| William Jr Kirwan |
Corporate Officer |
Sep 26, 2016 | |
| John Tarson |
Corporate Officer | Jan 1, 2025 | |
| Allison Miller |
W-2 Managing Employee |
Sep 1, 2022 | |
| Diane Boris |
Corporate Officer |
Jan 1, 2025 | |
| Franklin K Schoeneman |
Corporate Director |
Aug 1, 2008 | |
| Debra Blaschak |
Corporate Officer |
Mar 1, 2019 | |
| Corporate Director | Aug 1, 2008 | ||
| Timothy J Friel |
Corporate Officer |
Jul 1, 2025 | |
| Robert Lee Thomas |
W-2 Managing Employee |
Jan 1, 2025 | |
| Terrence Purcell |
Corporate Officer |
Jan 1, 2025 | |
| Anthony Baran |
Corporate Officer |
Sep 26, 2016 | |
| Corporate Director | Aug 1, 2008 | ||
| Jeanne Porter |
Corporate Director |
Aug 27, 2012 | |
| Stephen Molitoris |
Corporate Officer |
Jan 1, 2019 | |
| W-2 Managing Employee |
Jan 1, 2019 | ||
| Harry M Ciavarella |
Corporate Officer | Jan 1, 2025 | |
| Ranju Gupta |
Corporate Officer | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Pottsville Hosp Anes
Locations
10 E Spruce St
Frackville, PA 17931
Phone (570) 874-4289
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | |||
| Rural Acute Care Hospital | 282NR1301X | 421001 | PA | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100760725 | Medicaid | PA | |
| 1497 | Other | PA | HIGHMARK/BLUE SHIELD |
| 39-0030 | Other | PA | CAPITAL BLUE CROSS |
Other names
- Lehigh Valley Hospital Schuylkill S Jackson Street
- The Pottsville Hospital and Warne Clinic
Other providers in Pottsville, PA
- Paula Michelle Lazarski
- Dianna Deborah Lazur
- Lebanon Vamc
- Jangwoo Lee
- Lehigh Valley Hospital - Schuylkill
- Lehigh Valley Hospital - Schuylkill
- Lehigh Valley Hospital - Schuylkill
- Lehigh Valley Hospital Schuylkill
- Lehigh Valley Hospital Schuylkill
- Lehigh Valley Hospital Schuylkill
All providers in Pottsville, PA · Rural Acute Care Hospital in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.