Covered Entity Details

RRC390133-61 LEHIGH VALLEY HOSPITAL (Terminated) - information as of 4/25/2025 6:34:25 PM

Main Details

Name

LEHIGH VALLEY HOSPITAL

Subdivision Name

LEHIGH VALLEY HOSPITAL - EMERGENCY SERVICE - 17TH - 500

Type

Rural Referral Center

Rural

340B ID

RRC390133-61

Medicare Provider Number

390133

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

10/12/2017

Participating Start Date

1/1/2018

Participating Approval Date

10/27/2017

Last Recertification Date

8/25/2022

Termination Date
Termination Reason

1/1/2023
Change of covered entity type

Contacts

Authorizing Official

Lehigh Valley Health Network
Thomas Marchozzi, Executive Vice President & Chief Financial Officer
(484) 862-3943

Primary Contact

Lehigh Valley Health Network
Stephen Patrick Molitoris, Vice President
(484) 884-0974

Addresses

Street Address

1627 W Chew Street
Ground Floor
ALLENTOWN, PA 18102

Billing Address

Lehigh Valley Hospital
2100 Mack Blvd
Allentown, PA 18103

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
PA	1007660210023	1164400131

Shipping Addresses

Shipping Address 1

Lehigh Valley Hospital
1627 Chew Street
Allentown, PA 18102

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
RRC390133-01	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - DIAGNOSTIC IMAGING 1230 - 783	1230 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-02	Child	RRC	LEHIGH VALLEY	LEHIGH VALLEY HOSPITAL - MOSELEM SPRINGS- Radiology Diagnostic Tests - 128	14351 KUTZTOWN RD	FLEETWOOD	PA	Terminated
RRC390133-03	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - HISTOLOGY - 444	794 Roble Rd	Allentown	PA	Terminated
RRC390133-04	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB AT BANGOR - 184	1337 BLUE VALLEY DRIVE	PEN ARGYL	PA	Terminated
RRC390133-05	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RADIOLOGY AT FOGELSVILLE - 268	1431 NURSERY ST	FOGELSVILLE	PA	Terminated
RRC390133-06	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB AT FOGELSVILLE - 273	1431 NURSERY ST	FOGELSVILLE	PA	Terminated
RRC390133-07	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - MATERNAL FETAL MEDICINE - 671	3900 HAMILTON BLVD	ALLENTOWN	PA	Terminated
RRC390133-08	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RESP CARE SERVICES 17 ST - 556	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-09	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - HOME SLEEP STUDIES AT BANGOR - 196	1337 BLUE VALLEY DRIVE	PEN ARGYL	PA	Terminated
RRC390133-10	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SERVICES TILGHMAN - 210	4815 WEST TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-100	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CANCER RISK ASSESSMENT PROGRAM - 536 at Muhlenberg	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-101	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - REHAB AT HEALTH CENTER PALMER - 334	3701 Corriere Rd, Suite 21,	Easton	PA	Terminated
RRC390133-102	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - POST OPERATIVE UNIT at TILGHMAN - 209	4815 WEST TILGHMAN STREET	Allentown	PA	Terminated
RRC390133-103	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - Radiation OR - 219	4815 TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-104	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-744 PEDIATRIC REHABILITATIONs- - 744 PEDIATRIC REHABILITATION	1770 BATHGATE RD	BETHLEHEM	PA	Terminated
RRC390133-105	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-164 REHAB AT NAZARETH - 164 REHAB AT NAZARETH	39 South Main Street	Nazareth	PA	Terminated
RRC390133-106	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- 147 REHAB AT BATH - 147 REHAB AT BATH	6649 CHRISPHALT DR, STE 103	BATH	PA	Terminated
RRC390133-107	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-705 CARDIAC DIAGNOSTIC CENTER - 705 CARDIAC DIAGNOSTIC CENTER	2649 Schoenersville Road	BETHLEHEM	PA	Terminated
RRC390133-108	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-151 REHAB AT SCHOENERSVILLE RD - 151 REHAB AT SCHOENERSVILLE RD	2597 SCHOENERSVILLE RD, STE100	BETHLEHEM	PA	Terminated
RRC390133-109	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-119 REHAB AT NORTHAMPTON - 119 REHAB AT NORTHAMPTON	2412 Cherryville Road	Northampton	PA	Terminated
RRC390133-11	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SERVICES AT MACUNGIE - 154	6451 VILLAGE LANE	MACUNGIE	PA	Terminated
RRC390133-110	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 725 MRI - 725 MRI	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-111	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 145 DIAGNOSTIC IMAGING BETHLEHEM - 145 DIAGNOSTIC IMAGING BETHLEHEM	2101 EMRICK BLVD	BETHLEHEM	PA	Terminated
RRC390133-112	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 780 DIAGNOSTIC RADIOLOGY-BATH MOB - 780 DIAGNOSTIC RADIOLOGY-BATH MOB	6649 CHRISPHALT DRIVE	BATH	PA	Terminated
RRC390133-113	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 785 ULTRASOUND - BATH MOB - 785 ULTRASOUND - BATH MOB	6649 CHRISPHALT DRIVE	BATH	PA	Terminated
RRC390133-114	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-644 PARTIAL HOSPITALIZATION - 644 PARTIAL HOSPITALIZATION	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-115	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-661 AMBULATORY SURGICAL UNIT - 661 AMBULATORY SURGICAL UNIT	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-116	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 735 ANESTHESIA - 735 ANESTHESIA	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-117	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 736 RESPIRATORY CARE SERVICES - 736 RESPIRATORY CARE SERVICES	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-118	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-750 REHAB SERVICES AT LVH-M - 750 REHAB SERVICES AT LVH-M	1770 BATHGATE RD	BETHLEHEM	PA	Terminated
RRC390133-119	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 162 HOME SLEEP TESTING - 162 HOME SLEEP TESTING	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-12	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - LVH REHAB LEHIGHTON - 197	1241 BLAKESLEE BOULEVARD DR E, Suite 1	LEHIGHTON	PA	Terminated
RRC390133-120	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 723 CARDIAC CATH LAB - 723 CARDIAC CATH LAB	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-121	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-745 BETHLEHEM TWP REHAB SVCS - 745 BETHLEHEM TWP REHAB SVCS	2101 EMRICK BLVD	BETHLEHEM	PA	Terminated
RRC390133-122	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-118 REHAB AT WALNUTPORT - 118 REHAB AT WALNUTPORT	421 South Best Ave	Walnutport	PA	Terminated
RRC390133-123	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 158 PULMONARY FUNCTION AT MUHLENBERG - 158 PULMONARY FUNCTION AT MUHLENBERG	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-124	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-713 VASCULAR LAB - 713 VASCULAR LAB	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-125	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 681 PAIN MANAGEMENT - 681 PAIN MANAGEMENT	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-126	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-733 OCCUPATIONAL THERAPY - 733 OCCUPATIONAL THERAPY	2545 SCHOENERSVILLE ROAD ROAD4T	BETHLEHEM	PA	Terminated
RRC390133-127	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 734 ELECTROPHYSIOLOGY LAB - 734 ELECTROPHYSIOLOGY LAB	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-128	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 660 OPERATING ROOM	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-129	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 112 REHAB AT EASTON AVE - 112 REHAB AT EASTON AVE	3024 EASTON AVE	BETHLEHEM	PA	Terminated
RRC390133-13	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SERVICES - EMMAUS - 129	1040 CHESTNUT STREET	EMMAUS	PA	Terminated
RRC390133-130	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 792 MENTAL HEALTH CLINIC - MUHL	2604 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-131	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 716 PEDS SLEEP DISORDER CTR - 716 PEDS SLEEP DISORDER CTR	2101 EMRICK BLVD	BETHLEHEM	PA	Terminated
RRC390133-132	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 117 REHAB AT HELLERTOWN - 117 REHAB AT HELLERTOWN	708 Main Street	Hellertown	PA	Terminated
RRC390133-133	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-271 PICC TEAM - LVH-M - 271 PICC TEAM - LVH-M	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-134	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 729 NUCLEAR MEDICINE - 729 NUCLEAR MEDICINE	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-135	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 127 LABOR AND DELIVERY UNIT - 127 LABOR AND DELIVERY UNIT	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-136	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 724 INTERVENTIONAL RADIOLOGY - 724 INTERVENTIONAL RADIOLOGY	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-137	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 101 REHAB AT WEST BROAD STREET - 101 REHAB AT WEST BROAD STREET	529 W. BROAD STREET	BETHLEHEM	PA	Terminated
RRC390133-138	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 795 DENTAL CLINIC	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-139	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 779 MAMMOGRAPHY - BATH MOB - 779 MAMMOGRAPHY - BATH MOB	6649 CHRISPHALT DRIVE	BATH	PA	Terminated
RRC390133-14	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - CHILDRENS SURGERY CENTER - 257	1210 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-140	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 730 CVM - 730 CVM	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-141	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-134 REHAB AT HEALTH CENTER EASTON - 134 REHAB AT HEALTH CENTER EASTON	2401 Northampton Street, Suite110	Easton	PA	Terminated
RRC390133-142	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-493 HYPERBARIC MEDICINE - 493 HYPERBARIC MEDICINE	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-143	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-752 CARDIAC REHAB PHASE I - 752 CARDIAC REHAB PHASE I	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-144	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 143 BHS BETHLEHEM TWP - 143 BHS BETHLEHEM TWP	2101 EMRICK BLVD	BETHLEHEM	PA	Terminated
RRC390133-145	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-641 DIALYSIS SERVICES - 641 DIALYSIS SERVICES	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-146	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-739 SPEECH THERAPY - 739 SPEECH THERAPY	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-147	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-711 MHC HEART STATION - 711 MHC HEART STATION	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-148	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 435 LAB-AUTOMATION SERVICES - 435 LAB-AUTOMATION SERVICES	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-149	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 159 FAMILY MED MUHLENBERG PRACTICE	2604 SCHOENERSVILLE RD	BETHLEHEM	PA	Terminated
RRC390133-15	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - ENTEROSTOMAL THERAPY - 492	1210 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-150	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-737 PHYSICAL THERAPY - 737 PHYSICAL THERAPY	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-151	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 721 DIAGNOSTIC RADIOLOGY - 721 DIAGNOSTIC RADIOLOGY	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-152	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 683 EMERGENCY DEPARTMENT	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-153	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 722 CT SCAN - 722 CT SCAN	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-154	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 665 PACU - 665 PACU	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-156	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-732 CARDIAC REHAB - 732 CARDIAC REHAB	2649 SCHOENERSVILLE RD	BETHLEHEM	PA	Terminated
RRC390133-157	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 684 WOUND HEALING CENTER	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-158	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-714 NEURODIAGNOSTICS - 714 NEURODIAGNOSTICS	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-159	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 788 SLEEP CENTER AT BETHLEHEM TWP - 788 SLEEP CENTER AT BETHLEHEM TWP	2101 EMRICK BLVD	BETHLEHEM	PA	Terminated
RRC390133-16	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - WOUND HEALING PROGRAM - 511	1210 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-160	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 720 MAMMOGRAPHY - 720 MAMMOGRAPHY	2597 SCHOENERSVILLE ROAD SUITE 202	BETHLEHEM	PA	Terminated
RRC390133-161	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 728 ULTRASOUND - 728 ULTRASOUND	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-162	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 144 MAGNETIC IMAGING 1770 - 144 MAGNETIC IMAGING 1770	1770 BATHGATE ROAD	BETHLEHEM	PA	Terminated
RRC390133-163	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - 440 LAB-BLOOD BANK - 440 LAB-BLOOD BANK	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-164	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus-680 SPECIAL PROCEDURE UNIT - 680 SPECIAL PROCEDURE UNIT	2545 Schoenersville Rd	BETHLEHEM	PA	Terminated
RRC390133-165	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - Dept 640 - ICU - Dept 640 ICU	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-166	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- Dept 619 - 7T MED/SURG - Dept 619 - 7T MED/SURG	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-167	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- Dept 618 - 6T MED/SURG - 618 6T MED/SURG	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-168	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus - Dept 609- 2 SOUTH - Dept 609- 2 SOUTH	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-169	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- 615 RHC MEDICAL - 615 RHC MEDICAL	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-17	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - MAGNETIC IMAGING 1220 - 780	1220 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-170	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- Dept 610- 5T MED/SURG - Dept 610-5T MED/SURG	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-171	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- 608 EXPRESS ADMIT UNIT - 608 EXPRESS ADMIT UNIT	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-173	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital- Muhlenberg Campus- Dept 620 - 4T MED/SURG - Dept 620 4T MED/SURG	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-174	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital -Childrens Cancer Center - 316 - Childrens Cancer Center - 316	1210 S. Cedar Crest Blvd	Allentown	PA	Terminated
RRC390133-175	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - 1247 LVH IMAG MRI - 780 - 1247 LVH IMAG MRI - 780	1247 S Cedar Crest Blvd, Suite 102	Allentown	PA	Terminated
RRC390133-176	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC 1250 CT SURGERY CLINIC	1250 SOUTH CEDAR CREST BOULEVARD, SUITE 310	ALLENTOWN	PA	Terminated
RRC390133-177	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC 1250 NEUROSURGERY CLINIC	1250 SOTH CEDAR CREST BOULEVARD, SUITE 400	ALLENTOWN	PA	Terminated
RRC390133-178	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC 1250 NEUROPSYCHOLOGY CLINIC	1250 SOUTH CEDAR CREST BOULEVARD, SUITE 410	ALLENTOWN	PA	Terminated
RRC390133-179	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC CARDIOLOGY CLINIC (02-583)	1250 SOUTH CEDAR CREST BOULEVARD, SUITE 300	ALLENTOWN	PA	Terminated
RRC390133-18	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - BREAST HEALTH SVCS CEDAR CREST - 538	1240 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-180	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC 1250 NEUROLOGY CLINIC (02-585)	1250 SOUTH CEDAR CREST BOULEVARD, SUITE 405	ALLENTOWN	PA	Terminated
RRC390133-181	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC HEMATOLOGY/ONCOLOGY CLINIC	1240 SOUTH CEDAR CREST BOULEVARD, SUITE 401	ALLENTOWN	PA	Terminated
RRC390133-182	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CC GYNECOLOGICAL ONCOLOGY CLINIC	1240 SOUTH CEDAR CREST BOULEVARD, SUITE 401	ALLENTOWN	PA	Terminated
RRC390133-19	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - Health Center AT BANGOR - 183	1337 BLUE VALLEY DRIVE	PEN ARGYL	PA	Terminated
RRC390133-20	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CANCER SERVICES AT BANGOR - 181	1337 BLUE VALLEY DRIVE	PEN ARGYL	PA	Terminated
RRC390133-21	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PARTIAL HOSP ADULT PSYCH - 596	1259 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-22	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PT/OT SPEECH - 477	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-23	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PT/OT - 217	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-24	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - CANCER CTR MULTI-PURPOSE AREA - 535	1240 S. Cedar Crest Blvd., 1st Floor	Allentown	PA	Terminated
RRC390133-25	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PEDIATRIC REHAB AT CC - 125	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-26	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PARTIAL HOSP ADOLES PSYCH - 597	1255 SOUTH CEDAR CREST BOULEVARD, Suite 1500	ALLENTOWN	PA	Terminated
RRC390133-27	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RADIOLOGY AT BANGOR - 185	1337 BLUE VALLEY DRIVE	PEN ARGYL	PA	Terminated
RRC390133-28	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SVCS AT CC - 107	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-29	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - RADIATION ONCOLOGY - 468	1240 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-30	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL INC DBA LEHI - EXPRESS CARE TILGHMAN - 212	4825 West TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-31	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - KIDNEY ACQUISITION - 424	1240 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-32	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CARDIAC DIAG AT BANGOR - 188	1337 BLUE VALLEY DRIVE	PEN ARGYL	PA	Terminated
RRC390133-33	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - LVI DIAGNOSTIC IMAGING - 784	1250 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-34	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - BREAST HEALTH AT MOSELEM - 166	14351 KUTZTOWN RD	FLEETWOOD	PA	Terminated
RRC390133-35	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - CAT SCANNING - 463	1200 S. CEDAR CREST BLVD	Allentown	PA	Terminated
RRC390133-36	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RADIOLOGY AT MOSELEM SPRINGS - 192	14351 KUTZTOWN RD	FLEETWOOD	PA	Terminated
RRC390133-37	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RADIOLOGY AT ARENA - 265	707 HAMILTON ST	ALLENTOWN	PA	Terminated
RRC390133-39	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - DIAGNOSTIC IMAGING HAMBURG - 786	700 HAWK RIDGE DR	HAMBURG	PA	Terminated
RRC390133-40	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SERVICES AT MOSELEM - 168	14351 KUTZTOWN RD	FLEETWOOD	PA	Terminated
RRC390133-41	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RADIOLOGY - DIAGNOSTIC 17TH - 467	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-42	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - BREAST HEALTH SVCS - 17 & CHEW - 554	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-43	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - ELECTROPHYSIOLOGY LAB - 411	1250 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-44	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL INC DBA LEHI - STAGING/PACU TILGHMAN - 208	4825 TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-45	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - RADIATION THERAPY MHC - 746	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-46	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - MENTAL HEALTH/RETARDATION - 590	1627 West Chew Street, 3rd Floor	ALLENTOWN	PA	Terminated
RRC390133-47	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB AT ARENA - 171	707 HAMILTON ST	ALLENTOWN	PA	Terminated
RRC390133-48	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - SLEEP DISORDERS - 426	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-49	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SVCS AT T-TOWN - 491	6900 HAMILTON BOULEVARD	TREXLERTOWN	PA	Terminated
RRC390133-50	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - AMB SURG UNIT - STAGING - 504	1627 W. Chew Street	ALLENTOWN	PA	Terminated
RRC390133-51	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB SERVICES- CC - 216	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-52	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - HEALTH CENTER AT QUAKERTOWN - DIAGNOSTIC IMAGING - 929	99 N. West End Blvd.	Allentown	PA	Terminated
RRC390133-53	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - NUCLEAR MEDICINE - 473	1230 S. CEDAR CREST BLVD	Allentown	PA	Terminated
RRC390133-54	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CARDIAC REHAB PHASE I - 437	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-55	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - AUDIOLOGY - 479	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-56	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - FAIRGROUNDS SURGICAL CENTER - 144	401 N. 17th Street	Allentown	PA	Terminated
RRC390133-57	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - CARDIAC DIAGNOSTIC CENTER - 127	1627 West Chew Street, 1st Fl.	Allentown	PA	Terminated
RRC390133-58	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - ASU-PACU/OR - 505	1627 W Chew Street	ALLENTOWN	PA	Terminated
RRC390133-59	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - Cardiology Diagnostic Center - MOSELEM SPRINGS - 243	14351 KUTZTOWN RD	FLEETWOOD	PA	Terminated
RRC390133-60	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - MEDICAL ONCOLOGY MHC - 747	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated
RRC390133-61	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - EMERGENCY SERVICE - 17TH - 500	1627 W Chew Street	ALLENTOWN	PA	Terminated
RRC390133-62	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - LVH REHAB CETRONIA RD - 198	250 Cetronia Road, Suite 210	Allentown	PA	Terminated
RRC390133-63	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - ANESTHESIOLOGY - 17 - 400	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-64	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - REHAB AT 1250 CC - 248	1250 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-65	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PEDS SLEEP CENTER @ 17TH STREET - 187	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-66	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - DENTAL CLINIC - 510	1627 W Chew Street	ALLENTOWN	PA	Terminated
RRC390133-67	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - BREAST HLTH SVCS - TREXLERTOWN - 534	RT. 22 & LOWER MACUNGIE ROAD	Trexlertown	PA	Terminated
RRC390133-68	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - HEPATITIS CARE CENTER - 106	1627 Chew Street, 3rd Floor	ALLENTOWN	PA	Terminated
RRC390133-69	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL INC DBA LEHI - TILGHMAN SURGERY CENTER - 214	4825 WEST TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-70	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - VASCU/INTERVENTIONAL RADIOLOGY - 466	1230 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-71	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - ENDOCRINE TESTING STATION - 480	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-72	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - LAB - BLOOD BANK - 440	794 Roble Road	Allentown	PA	Terminated
RRC390133-73	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - IMAGING TILGHMAN - 211	4815 TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-74	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - IMAGING-CETRONIA RD - 199	250 CETRONIA RD.	Allentown	PA	Terminated
RRC390133-75	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - REHAB AT WHITEHALL - 245	3333 Jesse Reed Way	Whitehall	PA	Terminated
RRC390133-76	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - DIAGNOSTIC RADIOLOGY - T TOWN - 464	6900 HAMILTON BOULEVARD	TREXLERTOWN	PA	Terminated
RRC390133-77	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CARDIAC CATHETERIZATION STAGING & RECOVERY - 408	1250 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-78	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - MILES OF SMILES - 481	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-79	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - Health Network Laboratories - 435	794 Roble Rd	Allentown	PA	Terminated
RRC390133-80	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - REHAB SVCS AT QUAKERTOWN - 109	99 N. West End Blvd.	Allentown	PA	Terminated
RRC390133-81	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PACU - 17 - 443	1627 W Chew Street	ALLENTOWN	PA	Terminated
RRC390133-82	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL INC DBA LEHI - OPERATING ROOM TILGHMAN - 207	4815 WEST TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-83	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL INC DBA LEHI - TOXICOLOGY CLINIC - 286	4825 TILGHMAN STREET	ALLENTOWN	PA	Terminated
RRC390133-84	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - PULMONARY - 422	1250 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-85	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - AMBULATORY SURGICAL UNIT - PAP - 503	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-87	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - SPEECH & HEARING - 490	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-88	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CARDIAC REHABILITATION - 410	1243 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-89	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - REHAB AT COOPERSBURG - 299	21 North Main St	Coopersburg	PA	Terminated
RRC390133-90	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CANCER RISK ASSESSMENT PROGRAM - 536 at 1240 Cedar Crest	1240 SOUTH CEDAR CREST BOULEVARD	ALLENTOWN	PA	Terminated
RRC390133-91	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - 17th Street Heart Station & Vascular Lab - 412	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-92	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - 17th Street Ultrasound - 461	1627 Chew Street	ALLENTOWN	PA	Terminated
RRC390133-93	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - Short Stay Unit- 17th Street Observation - 102	1627 w Chew Street	ALLENTOWN	PA	Terminated
RRC390133-94	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - REHAB AT OREFIELD - 317	3752 PA Route 309	Orefield	PA	Terminated
RRC390133-95	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - CANCER SUPPORT SERVICES - 605	1240 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-96	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - PEDIATRIC REHAB AT PALMER - 304	3701 Corriere Rd, Suite 21,	Easton	PA	Terminated
RRC390133-97	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - Cedar Crest Operating Room Imaging - 219	1210 S. Cedar Crest Blvd.	Allentown	PA	Terminated
RRC390133-98	Child	RRC	LEHIGH VALLEY HOSPITAL	Lehigh Valley Hospital - Pain Management - 482	1240 S. Cedar Crest Boulevard	Allentown	PA	Terminated
RRC390133-99	Child	RRC	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - CANCER SUPPORT SERVICES - 605 at Muhlenberg	2545 SCHOENERSVILLE ROAD	BETHLEHEM	PA	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2023 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Hospital Type Change Request		1/1/2023 12:00:00 AM	11/17/2022 7:02 AM
Details	State	Update	Hospital Type Change Request	Active	To Be Terminated	11/17/2022 7:02 AM
Terminations	Termination Date	Update	Hospital Type Change Request		1/1/2023 12:00:00 AM	11/17/2022 7:02 AM
Terminations	Termination Effective Date	Update	Hospital Type Change Request		1/1/2023 12:00:00 AM	11/17/2022 7:02 AM
Terminations	Termination Reason	Update	Hospital Type Change Request		Change of covered entity type	11/17/2022 7:02 AM
Details	Last Recertification Date	Update	Recertification	8/18/2021 10:04:02 AM	8/25/2022 9:46:20 AM	8/25/2022 9:46 AM
Details	Last Recertification Date	Update	Recertification	9/8/2020 2:04:51 PM	8/18/2021 10:04:02 AM	8/18/2021 10:04 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007662010023 (PA)		3/4/2021 9:56 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/4/2021 9:56 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1007660210023	3/4/2021 9:56 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		PA	3/4/2021 9:56 AM
Medicaid Billing	NPI: State	Update	Recertification		PA	9/8/2020 2:04 PM
Details	Last Recertification Date	Update	Recertification	8/20/2019 3:48:05 PM	9/8/2020 2:04:51 PM	9/8/2020 2:04 PM
Addresses	Main Address	Update	Change Request	1627 Chew Street ALLENTOWN, PA 18102	1627 W Chew Street Ground Floor ALLENTOWN, PA 18102	3/9/2020 9:17 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	1/14/2020 1:09 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1007662010023	1/14/2020 1:09 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		PA	1/14/2020 1:09 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1164400131	1/14/2020 1:09 PM
Details	Last Recertification Date	Update	Recertification	9/4/2018 2:53:38 PM	8/20/2019 3:48:05 PM	8/20/2019 3:48 PM
Contacts	Primary Contact	Update	Profile Change Request	Molitoris, Stephen Patrick Administrator Lehigh Valley Health Network 4848840974	Molitoris, Stephen Patrick Vice President Lehigh Valley Health Network 4848840974	8/20/2019 1:44 PM
Details	Entity Name	Update	Change Request	LEHIGH VALLEY	LEHIGH VALLEY HOSPITAL	1/18/2019 10:39 AM
Addresses	Main Address	Update	Change Request	17TH & CHEW STREETS ALLENTOWN, PA 18102-3698	1627 Chew Street ALLENTOWN, PA 18102	10/15/2018 3:45 PM
Addresses	Shipping Address	Delete	Change Request	Lehigh Valley Hospital 1200 S. Cedar Crest Blvd Allentown, PA 18103		10/15/2018 3:45 PM
Addresses	Shipping Address	Insert	Change Request		Lehigh Valley Hospital 1627 Chew Street Allentown, PA 18102	10/15/2018 3:45 PM
Details	Last Recertification Date	Update	Recertification		9/4/2018 2:53:38 PM	9/4/2018 2:53 PM
Contacts	Primary Contact	Update	Profile Change Request	Molitoris, Stephen Patrick Administrator Lehigh Health Network 4848840974	Molitoris, Stephen Patrick Administrator Lehigh Valley Health Network 4848840974	1/11/2018 11:16 AM
Contacts	Authorizing Official	Update	Change Request	O'Dea, Edward Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943	Marchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943	1/9/2018 1:28 PM
Details	State	Update		Approved	Active	1/1/2018 12:00 AM
Contacts	Signed By	Insert	New Registration		O'Dea, Edward Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943	10/27/2017 8:31 AM
Details	340B ID	Update	New Registration		RRC390133-61	10/27/2017 8:31 AM
Details	Entity Subname	Update	New Registration	LEHIGH VALLEY HOSPITAL	LEHIGH VALLEY HOSPITAL - EMERGENCY SERVICE - 17TH - 500	10/27/2017 8:31 AM
Dates	Participating Approval Date	Update	New Registration		10/27/2017 8:31:45 AM	10/27/2017 8:31 AM
Details	State	Update	New Registration	Pending	Approved	10/27/2017 8:31 AM
Dates	Signed By Date	Update	New Registration		10/12/2017 2:30:13 PM	10/27/2017 8:31 AM
Dates	Start Date	Update	New Registration		1/1/2018 12:00:00 AM	10/27/2017 8:31 AM
Addresses	Main Address	Insert	New Registration		17TH & CHEW STREETS ALLENTOWN, PA 18102-3698	10/12/2017 12:14 PM
Addresses	Billing Address	Insert	New Registration		Lehigh Valley Hospital 2100 Mack Blvd Allentown, PA 18103	10/12/2017 12:14 PM
Addresses	Shipping Address	Insert	New Registration		Lehigh Valley Hospital 1200 S. Cedar Crest Blvd Allentown, PA 18103	10/12/2017 12:14 PM
Contacts	Primary Contact	Insert	New Registration		Molitoris, Stephen Patrick Administrator Lehigh Health Network 4848840974	10/12/2017 12:14 PM
Contacts	Authorizing Official	Insert	New Registration		O'Dea, Edward Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943	10/12/2017 12:14 PM
Details	Last Recertification Date	Insert	New Registration			10/12/2017 12:14 PM
Details	Grant Number	Insert	New Registration			10/12/2017 12:14 PM
Details	340B ID	Insert	New Registration			10/12/2017 12:14 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/12/2017 12:14 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/12/2017 12:14 PM
Details	Medicare Provider Number	Insert	New Registration		390133	10/12/2017 12:14 PM
Details	Entity Name	Insert	New Registration		LEHIGH VALLEY	10/12/2017 12:14 PM
Details	Program Code	Insert	New Registration		RRC	10/12/2017 12:14 PM
Details	Entity Subname	Insert	New Registration		LEHIGH VALLEY HOSPITAL	10/12/2017 12:14 PM
Dates	Participating Approval Date	Insert	New Registration			10/12/2017 12:14 PM
Details	State	Insert	New Registration		Pending	10/12/2017 12:14 PM
Dates	Registration Date	Insert	New Registration		10/12/2017 12:14:18 PM	10/12/2017 12:14 PM
Dates	Signed By Date	Insert	New Registration			10/12/2017 12:14 PM
Dates	Start Date	Insert	New Registration			10/12/2017 12:14 PM
Terminations	Termination Comments	Insert	New Registration			10/12/2017 12:14 PM
Terminations	Termination Date	Insert	New Registration			10/12/2017 12:14 PM
Terminations	Termination Effective Date	Insert	New Registration			10/12/2017 12:14 PM
Terminations	Termination Reason	Insert	New Registration			10/12/2017 12:14 PM