340B Drug Pricing Program Database


HV032130 LEHIGH VALLEY HOSPITAL (Active) - information as of 4/28/2025 1:47:16 AM

Main Details
LEHIGH VALLEY HOSPITAL
Ryan White Part C
HV032130
6 H76HA00078-33-04


Additional Details
Active
4/1/1996
4/1/1996
4/1/1996
2/11/2025
4/1/2022 - 3/31/2025

Contacts

Lehigh Valley Health Network
Robert Thomas, Sr. Vice President Finance & Chief Accounting Officer
(484) 884-0901

Lehigh Valley Hospital
Paul Mattern, 340B Program Manager
(610) 402-1007

Addresses

1627 Chew Street, Third Floor
Allentown, PA 18102

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
PA1007660210053,1007660210081679596811,1992261382
Shipping Addresses

Lehigh Valley Hospital
1627 Chew Street
Allentown
PA, PA 18102

Lehigh Valley Pharmacy Services
1202 South Cedar Crest Boulevard
Allentown, PA 18103

Lehigh Valley Pharmacy Services
2545 Schoenersville Road
Bethlehem, PA 18017

Lehigh Valley Pharmacy Services
2024 Lehigh Street, Suite 600
Allentown, PA 18103

Lehigh Valley Pharmacy Services
1637 Chew Street
Allentown, PA 18102
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/15/202004/01/2020  04/01/2020
Contract DetailECKERD CORPORATIONRITE AID #11058 241 NORTH FIRST STREET
LEHIGHTONPA1823504/09/202007/01/2020  07/01/2020
Contract DetailECKERD CORPORATIONRITE AID #11049 200 SOUTH BEST AVENUE
WALNUTPORTPA1808807/07/202310/01/2023  10/01/2023
Contract DetailLEHIGH VALLEY PHARMACY SERVICES17TH & CHEW ST 1637 CHEW ST
ALLENTOWNPA1810209/05/200109/05/2001 06/26/202006/29/2020
Contract DetailLEHIGH VALLEY PHARMACY SERVICESMUHLENBERG 2545 SCHOENERSVILLE RD
BETHLEHEMPA1801712/16/201112/16/2011 06/26/202006/29/2020
Contract DetailLEHIGH VALLEY PHARMACY SERVICES1202 S CEDAR CREST BLVD
ALLENTOWNPA1810312/16/201112/16/2011 06/26/202006/29/2020
Contract DetailLEHIGH VALLEY PHARMACY SERVICES2024 LEHIGH ST STE 600
ALLENTOWNPA18103-493807/09/201910/01/2019 01/01/202001/08/2020
Contract DetailLEHIGH VALLEY PHARMACY SERVICES2024 LEHIGH ST STE 600
ALLENTOWNPA18103-493801/14/202004/01/2020 06/26/202006/29/2020
Contract DetailNEW JERSEY CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10766 750 MEMORIAL PARKWAY
PHILLIPSBURGNJ0886504/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01304 1802 LEHIGH STREET
ALLENTOWNPA1810301/15/202004/01/2020 03/31/202103/31/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00858 315 WEST EMAUS AVENUE
ALLENTOWNPA1810301/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05734 2001 NORTH 11TH STREET
READINGPA1960401/15/202004/01/2020 03/31/202103/31/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01311 2651 EASTON AVENUE
BETHLEHEMPA1801701/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02262 5674 ROUTE 115
BLAKESLEEPA1861001/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01320 RT. 115 AND 209, HC2, BOX 1120
BRODHEADSVILLEPA1832201/15/202004/01/2020 03/31/202103/31/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00820 1457 8TH AVENUE
BETHLEHEMPA1801801/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01908 327 WOODLAWN AVENUE
BETHLEHEMPA1801801/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00974 1601 W. LIBERTY STREET
ALLENTOWNPA1810201/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01312 1111 NORTH 9TH ST.
STROUDSBURGPA1836001/15/202004/01/2020 03/31/202103/31/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 1787 4950 FREEMANSBURG AVE.
EASTONPA1804501/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 05743 29 WEST 21ST STREET
NORTHAMPTONPA1806701/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02020 728 UNION BOULEVARD
ALLENTOWNPA1810901/15/202004/01/2020 09/27/202309/28/2023
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02002 239 FOX RUN LANE
EAST STROUDSBURGPA1830201/15/202004/01/2020  04/01/2020
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01178 702 CHESTNUT ST.
EMMAUSPA1804901/14/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02459 305 WEST FOURTH STREET
BETHLEHEMPA1801501/14/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 04234 5801 W. TILGHMAN ST.
ALLENTOWNPA1810401/14/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02296 3295 PA ROUTE 100
MACUNGIEPA1806201/14/202104/01/2021  04/01/2021
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 3062 3192 ROUTE 115
EFFORTPA1833004/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00960 1520 NORTHAMPTON STREET
EASTONPA1804204/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01310 801 E. PHILADELPHIA AVE., UNIT 1
BOYERTOWNPA1951204/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01321 3498 N. 5TH STREET HWY.
READINGPA1960504/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 00461 3010 TILGHMAN STREET
ALLENTOWNPA1810404/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10061 7000 BUTLER PIKE
AMBLERPA1900204/11/202407/01/2024  07/01/2024
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01901 35 N. MAIN ST.
BANGORPA1801301/14/202504/01/2025  04/01/2025
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01301 45 CONSTITUTION BLVD
VILLAGE SQUARE S/C 		KUTZTOWNPA1953001/14/202504/01/2025  04/01/2025
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01942 413 RR 1, RTE 611
TANNERSVILLEPA1837201/14/202504/01/2025  04/01/2025
Contract DetailPENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01036 2434 CATASAUQUA ROAD
BETHLEHEMPA1801801/14/202504/01/2025  04/01/2025
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/15/202004/01/2020  04/01/2020
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #7836 1401 W TILGHMAN STREET
ALLENTOWNPA1810204/09/202007/01/2020 09/28/202208/04/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1355 504 MARION LN
BRODHEADSVILLEPA18322-706404/09/202007/01/2020 07/07/202307/07/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #4004 2108 MACARTHUR ROAD
WHITEHALLPA1805204/09/202007/01/2020  07/01/2020
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #6778 27 N 7TH ST STE 100
ALLENTOWNPA18101-135704/09/202007/01/2020  07/01/2020
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #836 1781 STEFKO BOULEVARD
BETHLEHEMPA1801707/07/202310/01/2023  10/01/2023
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1450 601 DELAWARE AVENUE
PALMERTONPA1807101/14/202504/01/2025  04/01/2025
Contract DetailRITE AID OF PENNSYLVANIA, LLCRITE AID #1983 102 EASTON ROAD
NAZARETHPA1806401/14/202504/01/2025  04/01/2025
Contract DetailTHRIFT DRUG, INC.RITE AID #11042 2178 W. UNION BLVD.
BETHLEHEMPA1801807/07/202310/01/2023 10/18/202310/24/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #11048 110 MAIN STREET
HELLERTOWNPA1805507/07/202310/01/2023  10/01/2023
Contract DetailTHRIFT DRUG, INC.RITE AID #10526 755 MEMORIAL PKY (US HWY 22)
PHILLIPSBURGNJ0886501/14/202504/01/2025  04/01/2025
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsGrant NumberUpdateChange Request2 H76HA00078-31-016 H76HA00078-33-042/23/2025 2:08 PM
DetailsLast Recertification DateUpdateRecertification2/5/2024 3:44:40 PM2/11/2025 7:25:57 AM2/11/2025 7:25 AM
ContactsAuthorizing OfficialUpdateChange RequestMarchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943Thomas, Robert Sr. Vice President Finance & Chief Accounting Officer Lehigh Valley Health Network 48488409012/7/2025 2:02 PM
DetailsGrant NumberUpdateChange Request2 H76HA00078-31-002 H76HA00078-31-015/19/2024 8:49 AM
DetailsLast Recertification DateUpdateRecertification2/2/2023 6:47:43 AM2/5/2024 3:44:40 PM2/5/2024 3:44 PM
DetailsNOFO NumberUpdate HRSA-22-014 12/16/2023 10:34 AM
ContactsPrimary ContactUpdateChange RequestParnell, Claude Laurence 340B Program Manager Lehigh Valley Health Network 6104025522Mattern, Paul 340B Program Manager Lehigh Valley Hospital 61040210078/1/2023 5:25 PM
DetailsLast Recertification DateUpdateRecertification1/31/2022 9:43:41 AM2/2/2023 6:47:43 AM2/2/2023 6:47 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False10/19/2022 12:14 PM
Medicaid BillingMedicaid: NumberInsertChange Request 100766021005310/19/2022 12:14 PM
Medicaid BillingMedicaid: StateInsertChange Request PA10/19/2022 12:14 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False10/19/2022 12:14 PM
Medicaid BillingMedicaid: NumberInsertChange Request 10076602100810/19/2022 12:14 PM
Medicaid BillingMedicaid: StateInsertChange Request PA10/19/2022 12:14 PM
Medicaid BillingNPI: NumberInsertChange Request 167959681110/19/2022 12:14 PM
Medicaid BillingNPI: StateInsertChange Request PA10/19/2022 12:14 PM
Medicaid BillingNPI: NumberInsertChange Request 199226138210/19/2022 12:14 PM
Medicaid BillingNPI: StateInsertChange Request PA10/19/2022 12:14 PM
Medicaid BillingNPI: NumberDeleteChange Request1679596811 (PA) 9/2/2022 9:14 AM
Medicaid BillingNPI: NumberDeleteChange Request1992261382 (PA) 9/2/2022 9:14 AM
DetailsAssistance Received From DateUpdateChange Request4/1/2021 12:00:00 AM4/1/2022 12:00:00 AM4/8/2022 11:16 AM
DetailsAssistance Received To DateUpdateChange Request3/31/2022 12:00:00 AM3/31/2025 12:00:00 AM4/8/2022 11:16 AM
DetailsGrant NumberUpdateChange RequestH76HA000782 H76HA00078-31-004/8/2022 11:16 AM
DetailsNOFO NumberUpdateChange RequestHRSA-18-004HRSA-22-0144/8/2022 11:16 AM
DetailsLast Recertification DateUpdateRecertification2/4/2021 7:52:02 AM1/31/2022 9:43:41 AM1/31/2022 9:43 AM
Medicaid BillingNPI: NumberInsertChange Request 16795968116/9/2021 10:44 AM
Medicaid BillingNPI: StateInsertChange Request PA6/9/2021 10:44 AM
Medicaid BillingNPI: NumberInsertChange Request 19922613826/9/2021 10:44 AM
Medicaid BillingNPI: StateInsertChange Request PA6/9/2021 10:44 AM
DetailsAssistance Received From DateUpdateChange Request4/1/2019 12:00:00 AM4/1/2021 12:00:00 AM4/26/2021 1:03 PM
DetailsAssistance Received To DateUpdateChange Request3/31/2021 12:00:00 AM3/31/2022 12:00:00 AM4/26/2021 1:03 PM
Medicaid BillingNPI: NumberDeleteRecertification1679596811 (PA) 2/4/2021 7:52 AM
Medicaid BillingNPI: NumberDeleteRecertification1992261382 (PA) 2/4/2021 7:52 AM
DetailsAssistance Received From DateUpdateRecertification 4/1/2019 12:00:00 AM2/4/2021 7:52 AM
DetailsAssistance Received To DateUpdateRecertification 3/31/2021 12:00:00 AM2/4/2021 7:52 AM
DetailsLast Recertification DateUpdateRecertification1/29/2020 11:10:37 AM2/4/2021 7:52:02 AM2/4/2021 7:52 AM
DetailsNOFO NumberUpdateRecertification HRSA-18-0042/4/2021 7:52 AM
AddressesMain AddressUpdateChange Request 1627 Chew Street Allentown, PA 18102 1627 Chew Street, Third Floor Allentown, PA 181021/11/2021 8:01 AM
AddressesShipping AddressDeleteChange RequestHealth Spectrum Pharmacy Services 1637 Chew Street Allentown, PA 18102 10/27/2020 1:24 PM
AddressesShipping AddressDeleteChange RequestHealth Spectrum Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 18103 10/27/2020 1:24 PM
AddressesShipping AddressDeleteChange RequestHealth Spectrum Pharmacy Services 2545 Schoenersville Road Bethlehem, PA 18017 10/27/2020 1:24 PM
AddressesShipping AddressDeleteChange RequestHealth Spectrum Pharmacy Services 2024 Lehigh Street, Suite 600 Allentown, PA 18103 10/27/2020 1:24 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 1810310/27/2020 1:24 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 2545 Schoenersville Road Bethlehem, PA 1801710/27/2020 1:24 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 2024 Lehigh Street, Suite 600 Allentown, PA 1810310/27/2020 1:24 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Pharmacy Services 1637 Chew Street Allentown, PA 1810210/27/2020 1:24 PM
AddressesShipping AddressDeleteChange RequestLehigh Valley Hospital - HSP Chew Street 1637 Chew Street Allentown, PA 18102 10/9/2020 7:23 AM
AddressesShipping AddressDeleteChange RequestLehigh Valley Hospital - HSP Specialty 2024 Lehigh Street, Suite 600 Allentown, PA 18103 10/9/2020 7:23 AM
AddressesShipping AddressDeleteChange RequestLehigh Valley Hospital - HSP Cedar Crest 1202 South Cedar Crest Boulevard Allentown, PA 18103 10/9/2020 7:23 AM
AddressesShipping AddressDeleteChange RequestLehigh Valley Hospital - HSP Muhlenberg 2545 Schoenersville Road Bethlehem, PA 18017 10/9/2020 7:23 AM
AddressesShipping AddressDeleteChange RequestLehigh Valley Hospital 1627 West Chew Street Allentown PA, PA 18102 10/9/2020 7:23 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital 1627 Chew Street Allentown PA, PA 1810210/9/2020 7:23 AM
AddressesShipping AddressInsertChange Request Health Spectrum Pharmacy Services 1202 South Cedar Crest Boulevard Allentown, PA 1810310/9/2020 7:23 AM
AddressesShipping AddressInsertChange Request Health Spectrum Pharmacy Services 2545 Schoenersville Road Bethlehem, PA 1801710/9/2020 7:23 AM
AddressesShipping AddressInsertChange Request Health Spectrum Pharmacy Services 2024 Lehigh Street, Suite 600 Allentown, PA 1810310/9/2020 7:23 AM
AddressesShipping AddressInsertChange Request Health Spectrum Pharmacy Services 1637 Chew Street Allentown, PA 1810210/9/2020 7:23 AM
Medicaid BillingNPI: NumberInsertChange Request 167959681110/9/2020 7:23 AM
Medicaid BillingNPI: StateInsertChange Request PA10/9/2020 7:23 AM
Medicaid BillingNPI: NumberInsertChange Request 199226138210/9/2020 7:23 AM
Medicaid BillingNPI: StateInsertChange Request PA10/9/2020 7:23 AM
AddressesShipping AddressDeleteChange RequestLehigh Valley Hospital - HSP Chew Street 1627 West Chew Street Allentown, PA 18102 10/6/2020 2:31 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital - HSP Chew Street 1637 Chew Street Allentown, PA 1810210/6/2020 2:31 PM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital 1627 West Chew Street Allentown PA, PA 181026/29/2020 11:55 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital - HSP Cedar Crest 1202 South Cedar Crest Boulevard Allentown, PA 181036/29/2020 11:55 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital - HSP Muhlenberg 2545 Schoenersville Road Bethlehem, PA 180176/29/2020 11:55 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital - HSP Chew Street 1627 West Chew Street Allentown, PA 181026/29/2020 11:55 AM
AddressesShipping AddressInsertChange Request Lehigh Valley Hospital - HSP Specialty 2024 Lehigh Street, Suite 600 Allentown, PA 181036/29/2020 11:55 AM
DetailsLast Recertification DateUpdateRecertification1/28/2019 9:50:19 AM1/29/2020 11:10:37 AM1/29/2020 11:10 AM
ContactsPrimary ContactUpdateRecertificationMolitoris, Stephen Patrick Administrator Lehigh Valley Health Network 4848840974Parnell, Claude Laurence 340B Program Manager Lehigh Valley Health Network 61040255221/28/2019 9:50 AM
DetailsLast Recertification DateUpdateRecertification2/7/2018 3:59:00 PM1/28/2019 9:50:19 AM1/28/2019 9:50 AM
ContactsPrimary ContactUpdateRecertificationYozviak, Joseph Medical Director, AIDS Activities Office Lehigh Valley Hospital 6109692400Molitoris, Stephen Patrick Administrator Lehigh Valley Health Network 48488409742/7/2018 3:59 PM
DetailsLast Recertification DateUpdateRecertification2/15/2017 12:00:00 AM2/7/2018 3:59:00 PM2/7/2018 3:59 PM
ContactsAuthorizing OfficialUpdateChange RequestO'Dea, Edward Chief Financial Officer 6104027501Marchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 48486239431/9/2018 1:28 PM
ContactsPrimary ContactUpdate Yozviak, Joseph Medical Director, AIDS Activities Office 6109692400Yozviak, Joseph Medical Director, AIDS Activities Office Lehigh Valley Hospital 61096924001/8/2018 3:05 PM
AddressesMain AddressInsert   1627 Chew Street Allentown, PA 181027/13/2017 2:23 PM
AddressesBilling AddressInsert  Lehigh Valley Hospital 17th and Chew Street PO Box 7017 Allentown, PA 18105-70177/13/2017 2:23 PM
ContactsPrimary ContactUpdate Friel, Timothy Medical Director, AIDS Activities Office 6109692400Yozviak, Joseph Medical Director, AIDS Activities Office 61096924007/13/2017 2:23 PM
ContactsAuthorizing OfficialInsert  O'Dea, Edward Chief Financial Officer 61040275017/13/2017 2:23 PM
DetailsLast Recertification DateUpdate 2/29/2016 12:00:00 AM2/15/2017 12:00:00 AM2/15/2017 1:58 PM
ContactsPrimary ContactInsert  Friel, Timothy Medical Director, AIDS Activities Office 61096924002/29/2016 11:56 AM
DetailsLast Recertification DateUpdate 2/23/2015 12:00:00 AM2/29/2016 12:00:00 AM2/29/2016 11:56 AM
DetailsLast Recertification DateUpdate 2/10/2014 12:00:00 AM2/23/2015 12:00:00 AM2/23/2015 8:29 AM
DetailsLast Recertification DateUpdate 1/1/2013 12:00:00 AM2/10/2014 12:00:00 AM2/10/2014 2:57 PM
DetailsLast Recertification DateUpdate 10/1/2006 12:00:00 AM1/1/2013 12:00:00 AM12/13/2012 5:27 PM
DetailsLast Recertification DateInsert  10/1/2006 12:00:00 AM5/25/2001 12:00 AM
DetailsGrant NumberInsert  H76HA000785/25/2001 12:00 AM
Details340B IDInsert  HV0321305/25/2001 12:00 AM
DetailsIs Authorizing Official EHB DataInsert   5/25/2001 12:00 AM
DatesLast Date That 340B Drugs PurchasedInsert   5/25/2001 12:00 AM
DetailsMedicare Provider NumberInsert   5/25/2001 12:00 AM
DetailsEntity NameInsert  LEHIGH VALLEY HOSPITAL5/25/2001 12:00 AM
DetailsProgram CodeInsert  HV5/25/2001 12:00 AM
DetailsEntity SubnameInsert   5/25/2001 12:00 AM
DatesParticipating Approval DateInsert  4/1/1996 12:00:00 AM5/25/2001 12:00 AM
DetailsStateInsert  Active5/25/2001 12:00 AM
DatesRegistration DateInsert  4/1/1996 12:00:00 AM5/25/2001 12:00 AM
DatesSigned By DateInsert   5/25/2001 12:00 AM
DatesStart DateInsert  4/1/1996 12:00:00 AM5/25/2001 12:00 AM
TerminationsTermination CommentsInsert   5/25/2001 12:00 AM
TerminationsTermination DateInsert   5/25/2001 12:00 AM
TerminationsTermination Effective DateInsert   5/25/2001 12:00 AM
TerminationsTermination ReasonInsert   5/25/2001 12:00 AM