NPIMap

Organization Active NPI

Neighborhood Health Centers of the Lehigh Valley

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
National Provider Identifier
1326418245
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
OS015738 Issued in PA
Legal business name
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
Practice address
1210 E 4TH St
Fowler Family Center
Bethlehem, PA 18015-2016
Phone
(610) 849-9157
NPI assigned
Oct 5, 2015
Organization subpart
Yes
Parent organization
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Ms. Melissa Miranda Craig, BSN
Title
Executive Director
Phone
(610) 820-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X OS015738 PA Primary

Addresses

Primary practice location

1210 E 4TH St
Fowler Family Center
Bethlehem, PA 18015-2016

Mailing address

635 E Broad St
Bethlehem, PA 18018-6332
Phone (610) 820-7605

Other identifiers 1

IdentifierTypeStateIssuer
391039OtherPAMEDICARE CERTIFICATION NUMBER PART A

Other names 1

  • NHCLV-Bethlehem Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100526000092 PA Part B Supplier - Clinic/Group Practice 2961537352 Receives reassigned benefits from 54 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Easton, PA; Bethlehem, PA; Allentown, PA
O20170417000211 PA Part A Provider - Federally Qualified Health Center (FQHC) 2961537352 Practice locations: Bethlehem, PA

Federally qualified health center certification: CCN 391090

Legal name
NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY
Doing business as
NHCLV AT FOWLER CENTER DONEGAN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 7, 2017
Last certification
Apr 7, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 2004 in PA
Enrollment address
1210 E 4TH St
Bethlehem, PA 18015-2016

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 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1065544Nhclv - Donegan1210 E 4TH Street, Bethlehem, PA 18015Provider-performed microscopyMar 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Nhclv at Broad Street6 organizations share this tax ID, including this one
Part of
Nhclv at Broad Street

Other organizations with this tax ID 5

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

Locations

333 W Union St
Allentown, PA 18102

160 Hamilton St
Allentown, PA 18101
Phone (610) 477-0105

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Melissa M Miranda Individual Corporate OfficerCeo Apr 4, 2017
W-2 Managing EmployeeCeo Executive Director Apr 4, 2017

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nhclv at Broad StreetBethlehem, PA, CCN 731900 Federally qualified health center Operational/Managerial Control Nov 19, 2004
Neighborhood Health Centers of the Lehigh Valley - Hamilton StreetAllentown, PA, CCN 731057 Federally qualified health center Operational/Managerial Control Nov 19, 2004

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1326418245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186332",
            "telephone_number": "610-820-7605",
            "fax_number": "610-820-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E 4TH ST",
            "address_2": "FOWLER FAMILY CENTER",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180152016",
            "telephone_number": "610-849-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH CENTERS OF THE LEHIGH VALLEY",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-820-7605",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": "OS015738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CERTIFICATION NUMBER PART A",
            "identifier": "391039",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHCLV-Bethlehem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NHCLV-Bethlehem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.