NPIMap

Organization Active NPI

Lehigh Valley Hospital - Schuylkill

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Saint Clair, PA
National Provider Identifier
1265498299
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
License
541024 Issued in PA
Legal business name
LEHIGH VALLEY HOSPITAL - SCHUYLKILL
Practice address
502 S 2ND St
Saint Clair, PA 17970-1362
Phone
(570) 622-5898
Fax
(570) 621-4215
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 541024 PA Primary

Addresses

Primary practice location

502 S 2ND St
Saint Clair, PA 17970-1362

Mailing address

502 S 2ND St., Suite a
Saint Clair, PA 17970-1362
Phone (570) 622-5898

Other identifiers 5

IdentifierTypeStateIssuer
39A031OtherPABLUE CROSS OF PA
1007604490004MedicaidPA
320758OtherPAVALUE OPTIONS
1122155OtherPACIGNA BEHAVIORAL HEALTH
1508OtherPABLUE SHIELD OF PA

Other names 1

  • Schuylkill Medical Center - South Jackson Street Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Pottsville Hosp Anes10 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

502 S 2nd St
Ste A
Saint Clair, PA 17970
Phone (570) 621-5453

502 S 2nd St
Saint Clair, PA 17970
Phone (570) 622-5898

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1265498299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S 2ND ST., SUITE A",
            "city": "SAINT CLAIR",
            "state": "PA",
            "postal_code": "179701362",
            "telephone_number": "570-622-5898",
            "fax_number": "570-621-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S 2ND ST",
            "city": "SAINT CLAIR",
            "state": "PA",
            "postal_code": "179701362",
            "telephone_number": "570-622-5898",
            "fax_number": "570-621-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL - SCHUYLKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "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": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "PA",
            "license": "541024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF PA",
            "identifier": "39A031",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007604490004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "320758",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1122155",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF PA",
            "identifier": "1508",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuylkill Medical Center - South Jackson Street",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Clair, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.