NPIMap

Organization Active NPI

Lehigh Valley Hospital- Pocono

Doing business as Lehigh Valley Hospital - Dickson City

  • General Acute Care Hospital
  • Dickson City, PA
National Provider Identifier
1396402053
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LEHIGH VALLEY HOSPITAL- POCONO
Doing business as
Lehigh Valley Hospital - Dickson City
Practice address
330 Main St
Dickson City, PA 18519-1691
Phone
(484) 884-3025
NPI assigned
Nov 17, 2021
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Robert Thomas
Title
Chief Accounting Officer
Phone
(484) 884-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

330 Main St
Dickson City, PA 18519-1691

Mailing address

PO Box 4120
Allentown, PA 18105-4120
Phone (484) 884-3025

Other names 2

  • Lehigh Valley Hospital - Dickson City Doing business as
  • Pocono Medical Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220317001483 PA Part A Provider - Hospital 8224934773 Practice locations: Dickson City, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396402053. Details of each certification follow.

Hospital certification: CCN 390338

Legal name
LEHIGH VALLEY HOSPITAL POCONO
Doing business as
LEHIGH VALLEY HOSPITAL - DICKSON CITY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 14, 2022
Last certification
Jul 25, 2022
Beds
24
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 8, 1915 in PA
Enrollment address
330 Main St
Dickson City, PA 18519-1691
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lehigh Valley Hospital - Dickson CityCCN 390338 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
39D2255772Lehigh Valley Hospital-Dickson City330 Main Street, Dickson City, PA 18519Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pocono Infectious Diseases28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Lynn a Courtright Individual Corporate OfficerBoard Member Jul 1, 2025
Thomas Jefferson University Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2025 50%
Eric P Wilson Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Begliomini Individual Corporate OfficerBoard Member Jul 1, 2025
Debra Scocozza Individual Corporate OfficerBoard Member Jul 1, 2025
Daniel Quay Individual Corporate OfficerBoard Member Jul 1, 2025
Carolyn Bortz Individual Corporate OfficerBoard Member Jul 1, 2025
Jefferson Health Corporation Organization, Philadelphia, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2025 50%
Allison Miller Individual W-2 Managing EmployeeOther Sep 1, 2022
Rajesh G Bhagat Individual Corporate OfficerBoard Member Jul 1, 2025
James C Miller Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Lee Thomas Individual W-2 Managing EmployeeChief Accounting Officer Jan 1, 2025
Tom J Grayuski Individual Corporate OfficerBoard Member Jul 1, 2025
William a Worthington Individual Corporate Director May 18, 2022
Rovinder S Sandhu Individual Corporate OfficerBoard Member Jul 1, 2025
Stephen Molitoris Individual W-2 Managing EmployeeVP Reimbursement Feb 1, 2017
Andrew a Forte Individual Corporate Director May 18, 2022
Joseph Pinto Individual Corporate OfficerBoard Member Jul 1, 2025
Thomas Kirkwood Individual Corporate OfficerBoard Member Jul 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 17

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 17

Affiliated clinicians 317

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

View all 317

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1396402053",
    "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": "484-884-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191691",
            "telephone_number": "484-884-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL- POCONO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "484-884-0901"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lehigh Valley Hospital - Dickson City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pocono Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.