NPIMap

Organization Active NPI

Lehigh Valley Hospital Hazleton

Doing business as Hazleton General Hospital

  • General Acute Care Hospital
  • Hazleton, PA
National Provider Identifier
1548322720
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
083701 Issued in PA
Legal business name
LEHIGH VALLEY HOSPITAL HAZLETON
Doing business as
Hazleton General Hospital
Practice address
700 E Broad St
Hazleton, PA 18201-6835
Phone
(570) 501-4000
NPI assigned
Dec 14, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
General Acute Care Hospital 282N00000X 083701 PA Primary

Addresses

Primary practice location

700 E Broad St
Hazleton, PA 18201-6835

Mailing address

700 E Broad St
Hazleton, PA 18201-6835
Phone (570) 501-4000

Other identifiers 1

IdentifierTypeStateIssuer
100728719MedicaidPA

Other names 1

  • Hazleton General Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051115000634 PA Part A Provider - Hospital 6204855604 Practice locations: Tamaqua, PA; Mountain Top, PA; Hazleton, PA; Hazle Township, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548322720. Details of each certification follow.

Hospital certification: CCN 390185

Legal name
LEHIGH VALLEY HOSPITAL HAZLETON
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 21, 2024
Beds
150 (138 certified)
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jul 31, 1985 in PA
Enrollment address
700 E Broad St
Hazleton, PA 18201-6835
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

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 - HazletonCCN 390185 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Emerg Med Hazleton Gen6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2505 W Hammer Ln
Stockton, CA 95209
Phone (209) 954-3370

384 Airport Rd
Hazle Township, PA 18202
Phone (570) 501-1242

Ownership & related parties

All disclosed owners & managing parties 17

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 Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2025 50%
Jennifer Moisey Individual Corporate OfficerBoard Member Jul 1, 2025
Robert Begliomini 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%
Antonette Fritz Individual Corporate OfficerBoard Member Jan 1, 2025
Allison Miller Individual W-2 Managing Employee Sep 1, 2022
Anthony Ryba Individual Corporate Officer Jan 1, 2025
Joseph Lettiere Individual Corporate OfficerBoard Member Jan 1, 2025
Robert Lee Thomas Individual Corporate OfficerTreasurer Jan 1, 2018
W-2 Managing EmployeeChief Accounting Officer Jan 1, 2025
Mark J Lobitz Individual Corporate OfficerBoard Member Jan 1, 2022
Vicky Perez Individual Corporate OfficerBoard Member Jan 1, 2025
Tammy Torres Individual Corporate OfficerBoard Member Jan 1, 2025
Mark Imbriaco Individual Corporate Officer Jan 1, 2025
Terrence Purcell Individual Corporate OfficerPresident, LVH-Hazleton Aug 14, 2021
Stephen Molitoris Individual W-2 Managing Employee Jan 1, 2018
Elizabeth Wright Individual Corporate OfficerBoard Member Jan 1, 2025
Barbara Ann Forte Individual Corporate OfficerSecretary Jan 1, 2015

Owners & managing parties with NPI records 1

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 40

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 40

Affiliated clinicians 681

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

View all 681

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1548322720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016835",
            "telephone_number": "570-501-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL HAZLETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "083701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728719",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazleton General Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazleton General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.