Blue Mountain Hospital

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

420601 Issued in PA

Legal business name

BLUE MOUNTAIN HOSPITAL

Doing business as

St. Luke's Adult Day Center

Practice address

525 Iron St
Lehighton, PA 18235-1949

Phone

(610) 379-4880

Fax

(610) 379-4883

NPI assigned

Dec 18, 2008

Last updated

Mar 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Lichtenwalner

Title

Sr VP Finance

Phone

(484) 526-3114

Specialties & licenses 2

Addresses

Other names 1

• St. Luke's Adult Day Center Doing business as

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1831335009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NORTH 12TH STREET",
            "address_2": "FINANCE OFFICE",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351596",
            "telephone_number": "610-377-7003",
            "fax_number": "610-377-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 IRON ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351949",
            "telephone_number": "610-379-4880",
            "fax_number": "610-379-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "LICHTENWALNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SR VP FINANCE",
        "authorized_official_telephone_number": "484-526-3114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "420601",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "420601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of Pennsylvania, Inc. (BMA of Carbon County)
• Bio-Medical Applications of Pennsylvania, Inc. (Bma Carbon County)
• Saranya Birdsall, CRNP
• Jonathan Michael Blackwell-Rodgers, LCSW LMSW
• Blue Mountain Hospital (Cardio Huetten mem HG)
• Blue Mountain Hospital (Blue Mountain Home Health Care)
• Blue Mountain Mobility Inc
• Alessandro S Boschi, M.D.
• Joanne Fox Boschi, CPNP
• Francis J Braconaro, MD

• Adult Day Care Clinic/Center in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.