Organization Active NPI

Palmerton Hospital

  • General Acute Care Hospital
  • Palmerton, PA
National Provider Identifier
1750488995
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
420601 Issued in PA
Legal business name
PALMERTON HOSPITAL
Practice address
135 Lafayette Ave
Palmerton, PA 18071-1518
Phone
(610) 826-3141
Fax
(610) 377-7176
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mrs. Andrea L. Andrae
Title
Cfo
Phone
(610) 377-7003

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 420601 PA
Psychiatric Hospital Unit 273R00000X 920080 PA
General Acute Care Hospital 282N00000X 420601 PA Primary

Addresses

Primary practice location

135 Lafayette Ave
Palmerton, PA 18071-1518

Mailing address

135 Lafayette Ave
Palmerton, PA 18071-1518
Phone (610) 826-3141

Other identifiers 8

IdentifierTypeStateIssuer
074000OtherPAFIRST PRIORITY HEALTH
60623OtherPAAMERIHEALTH MERCY
76928OtherPAUNISON HEALTH PLAN
1007743190009MedicaidPA
1504385OtherPAGATEWAY HEALTH PLAN
1007743190008MedicaidPA
390019OtherPABLUE CROSS
6490810OtherPAAENTA USHC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1750488995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711518",
            "telephone_number": "610-826-3141",
            "fax_number": "610-377-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711518",
            "telephone_number": "610-826-3141",
            "fax_number": "610-377-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMERTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "ANDRAE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-377-7003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "420601",
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "920080",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "420601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "074000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "60623",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "76928",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007743190009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1504385",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007743190008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "390019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA USHC",
            "identifier": "6490810",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.