Covered Entity Details

RRC390133-174 LEHIGH VALLEY HOSPITAL (Terminated) - information as of 4/25/2025 9:23:10 PM

Main Details

Name

LEHIGH VALLEY HOSPITAL

Subdivision Name

Lehigh Valley Hospital -Childrens Cancer Center - 316 - Childrens Cancer Center - 316

Type

Rural Referral Center

Rural

340B ID

RRC390133-174

Medicare Provider Number

390133

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

10/12/2018

Participating Start Date

1/1/2019

Participating Approval Date

11/5/2018

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

1210 S. Cedar Crest Blvd
Suite 1000
Allentown, PA 18103

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	1007660210055	1164400131

Shipping Addresses

Shipping Address 1

Lehigh Valley Hospital
1200 South Cedar Crest Boulevard
Allentown, PA 18103

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 10:14:30 AM	8/25/2022 10:03:07 AM	8/25/2022 10:03 AM
Details	Last Recertification Date	Update	Recertification	9/8/2020 1:59:26 PM	8/18/2021 10:14:30 AM	8/18/2021 10:14 AM
Medicaid Billing	NPI: Number	Delete	Change Request	1952954307 (PA)		3/4/2021 9:59 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1164400131	3/4/2021 9:59 AM
Medicaid Billing	NPI: State	Insert	Change Request		PA	3/4/2021 9:59 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007660210109 (PA)		1/6/2021 10:25 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	1/6/2021 10:25 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1007660210055	1/6/2021 10:25 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		PA	1/6/2021 10:25 AM
Medicaid Billing	Medicaid: Number	Delete	Change Request	1007660210055 (PA)		12/21/2020 1:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	12/21/2020 1:39 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1007660210109	12/21/2020 1:39 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		PA	12/21/2020 1:39 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1164400131 (PA)		9/14/2020 12:16 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/8/2020 1:59 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1007660210055	9/8/2020 1:59 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		PA	9/8/2020 1:59 PM
Medicaid Billing	NPI: State	Update	Recertification		PA	9/8/2020 1:59 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1952954307	9/8/2020 1:59 PM
Medicaid Billing	NPI: State	Insert	Recertification		PA	9/8/2020 1:59 PM
Details	Last Recertification Date	Update	Recertification	8/20/2019 3:24:47 PM	9/8/2020 1:59:26 PM	9/8/2020 1:59 PM
Addresses	Shipping Address	Insert	Change Request		Lehigh Valley Hospital 1200 South Cedar Crest Boulevard Allentown, PA 18103	7/28/2020 11:01 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1164400131	6/15/2020 9:07 AM
Addresses	Main Address	Update	Change Request	1210 S. Cedar Crest Blvd Allentown, PA 18103	1210 S. Cedar Crest Blvd Suite 1000 Allentown, PA 18103	3/9/2020 10:35 AM
Details	Last Recertification Date	Update	Recertification		8/20/2019 3:24:47 PM	8/20/2019 3:24 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
Details	State	Update		Approved	Active	1/1/2019 12:05 AM
Contacts	Signed By	Insert	New Registration		Marchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943	11/5/2018 10:14 AM
Details	340B ID	Update	New Registration		RRC390133-174	11/5/2018 10:14 AM
Details	Entity Subname	Update	New Registration	Lehigh Valley Hospital -Childrens Cancer Center - 316	Lehigh Valley Hospital -Childrens Cancer Center - 316 - Childrens Cancer Center - 316	11/5/2018 10:14 AM
Dates	Participating Approval Date	Update	New Registration		11/5/2018 10:14:41 AM	11/5/2018 10:14 AM
Details	State	Update	New Registration	Pending	Approved	11/5/2018 10:14 AM
Dates	Signed By Date	Update	New Registration		10/26/2018 9:35:21 AM	11/5/2018 10:14 AM
Dates	Start Date	Update	New Registration		1/1/2019 12:00:00 AM	11/5/2018 10:14 AM
Addresses	Main Address	Insert	New Registration		1210 S. Cedar Crest Blvd Allentown, PA 18103	10/12/2018 3:16 PM
Addresses	Billing Address	Insert	New Registration		Lehigh Valley Hospital 2100 Mack Blvd Allentown, PA 18103	10/12/2018 3:16 PM
Contacts	Primary Contact	Insert	New Registration		Molitoris, Stephen Patrick Administrator Lehigh Valley Health Network 4848840974	10/12/2018 3:16 PM
Contacts	Authorizing Official	Insert	New Registration		Marchozzi, Thomas Executive Vice President & Chief Financial Officer Lehigh Valley Health Network 4848623943	10/12/2018 3:16 PM
Details	Last Recertification Date	Insert	New Registration			10/12/2018 3:16 PM
Details	Grant Number	Insert	New Registration			10/12/2018 3:16 PM
Details	340B ID	Insert	New Registration			10/12/2018 3:16 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/12/2018 3:16 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/12/2018 3:16 PM
Details	Medicare Provider Number	Insert	New Registration		390133	10/12/2018 3:16 PM
Details	Entity Name	Insert	New Registration		LEHIGH VALLEY	10/12/2018 3:16 PM
Details	Program Code	Insert	New Registration		RRC	10/12/2018 3:16 PM
Details	Entity Subname	Insert	New Registration		Lehigh Valley Hospital -Childrens Cancer Center - 316	10/12/2018 3:16 PM
Dates	Participating Approval Date	Insert	New Registration			10/12/2018 3:16 PM
Details	State	Insert	New Registration		Pending	10/12/2018 3:16 PM
Dates	Registration Date	Insert	New Registration		10/12/2018 3:16:44 PM	10/12/2018 3:16 PM
Dates	Signed By Date	Insert	New Registration			10/12/2018 3:16 PM
Dates	Start Date	Insert	New Registration			10/12/2018 3:16 PM
Terminations	Termination Comments	Insert	New Registration			10/12/2018 3:16 PM
Terminations	Termination Date	Insert	New Registration			10/12/2018 3:16 PM
Terminations	Termination Effective Date	Insert	New Registration			10/12/2018 3:16 PM
Terminations	Termination Reason	Insert	New Registration			10/12/2018 3:16 PM