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HM18103 Lehigh Valley Hospital (Active)
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Main Details
Name
Lehigh Valley Hospital
Subdivision Name
Hemophilia Treatment Program (CC)
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM18103
Grant Number
5H30MC48960-03-00
Additional Details
Current Program Status
Active
Registration Date
1/12/2021
Participating Start Date
4/1/2021
Participating Approval Date
2/1/2021
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Lehigh Valley Health Network
Robert Thomas, Sr. Vice President Finance & Chief Accounting Officer
(484) 884-0901
Primary Contact
Lehigh Valley Hospital
Paul Mattern, 340B Program Manager
(610) 402-1007
Addresses
Street Address
1240 South Cedar Crest Boulevard, Suite 310
Allentown, PA 18103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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