PROVIDER2015DIRECTORY

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1 PROVIDER2015DIRECTORY (Printed 11/2014) SecureChoiceSM Hospitals, Behavioral Health Care Facilities, SNFs, Ancillaries, and Clinical Laboratories SecureChoice SM is brought to you by Keystone Health Plan Central, a Capital BlueCross company. Capital BlueCross is an Independent Licensee of the BlueCross BlueShield Association

2 The following section lists network hospitals. Preauthorization Requirements HOSPITALS All acute care inpatient services, except for emergency services and admissions for delivery, must be preauthorized. Preauthorization for SecureChoice SM Members is an approval process used to determine member eligibility, benefit coverage and medical necessity of proposed services at the time of the request. You may ask your provider if the service requires preauthorization. Network providers are responsible for knowing which services require preauthorization and for obtaining preauthorization from Keystone Health Plan Central or its designated representative before providing the service. Please note: The emergency room (ER), anesthesia, radiology and pathology physicians working in some hospitals may not be participating (network) providers. If you receive covered ER, anesthesia, radiology and/or pathology services in a participating hospital, you may be balance billed by the treating physician(s). Important Notes This directory is accurate only as of the date the information was generated for this printing. To check the most current participation status of any particular provider, visit our website at capbluecross.com/healthypa or call the toll-free number on your ID card. You may also contact our Customer Service Department for SecureChoice SM Members at (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM, or contact the provider directly to verify their participation in SecureChoice SM. If you have questions about your benefits or any other aspect of your health care coverage, please call the toll-free number on your ID card or contact our Customer Service Department for SecureChoice SM Members at (TTY 711), Monday through Friday, 8:00 AM to 6:00 PM. After normal business hours, you may leave a voice mail message and a Customer Service Representative will return your call during the next business day. Always present your Member identification card each time you seek medical services. For detailed information concerning your benefits, please refer to your Member Handbook. Page 1

3 Acute Care Hospital Acute Care Hospital Reading Hospital and Medical CBC # NPI/Ref # th Ave & Spruce St Reading, PA Phone: (610) Fax: (610) St Joseph Medical CBC # NPI/Ref # Bernville Rd Reading, PA Phone: (610) Fax: (610) Centre Mount Nittany Medical CBC # NPI/Ref # E Park Ave State College, PA Phone: (814) Fax: (814) Columbia Berwick Hospital CBC # NPI/Ref # E 16th St Berwick, PA Phone: (570) Fax: (570) Carlisle Regional Medical CBC # NPI/Ref # Alexander Spring Rd Carlisle, PA Phone: (717) Fax: (717) Holy Spirit Hospital CBC # NPI/Ref # N 21st St Phone: (717) Fax: (717) PinnacleHealth Hospitals CBC # NPI/Ref # Technology Pkwy Mechanicsburg, PA Phone: (717) Milton S Hershey Medical (The) CBC # NPI/Ref # University Dr Hershey, PA Phone: (717) Fax: (717) PinnacleHealth Hospitals CBC # NPI/Ref # S Front St Harrisburg, PA Phone: (717) Fax: (717) Counity Campus 4300 Londonderry Rd Phone: (717) Franklin Chambersburg Hospital CBC # NPI/Ref # N 7th St Phone: (717) Fax: (717) Waynesboro Hospital CBC # NPI/Ref # E Main St Waynesboro, PA Phone: (717) Fax: (717) Fulton Fulton County Medical CBC # NPI/Ref # Peach Orchard Rd Mc Connellsburg, PA Phone: (717) Fax: (717) Heart of Regional Medical CBC # NPI/Ref # Highlands Dr Lititz, PA Phone: (717) Fax: (717) General Hospital CBC # NPI/Ref # N Duke St, PA Phone: (717) Fax: (717) Regional Medical CBC # NPI/Ref # College Ave, PA Phone: (717) Fax: (717) Good Samaritan Hospital CBC # NPI/Ref # th & Walnut Sts, PA Phone: (717) Fax: (717) Valley Hospital CBC # NPI/Ref # S Cedar Crest Blvd Allentown, PA Phone: (610) Fax: (484) for Orthopedic Medicine 4815 Tilghman St Allentown, PA Phone: (610) Sacred Heart Hospital CBC # NPI/Ref # Chew St Allentown, PA Phone: (610) Fax: (610) St Lukes Hospital - Allentown Campus CBC # NPI/Ref # Hamilton St Allentown, PA Phone: (610) Fax: (610) Easton Hospital CBC # NPI/Ref # S 21st St Easton, PA Phone: (610) Fax: (610) Valley Hospital - Muhlenberg CBC # NPI/Ref # Schoenersville Rd Phone: (610) Fax: (484) St Lukes Hospital CBC # NPI/Ref # Ostrum St Bethlehem, PA Phone: (610) Fax: (610) St Lukes Hospital - Anderson CBC # NPI/Ref # Riverside Cir Easton, PA Phone: (484) Northumberland Sunbury Counity Hospital CBC # NPI/Ref # N 11th St Sunbury, PA Phone: (570) Fax: (570) Schuylkill Schuylkill Medical - East Norwegian Street CBC # NPI/Ref # E Norwegian St Pottsville, PA Phone: (570) Fax: (570) Schuylkill Medical - South Jackson Street CBC # NPI/Ref # S Jackson St Pottsville, PA Phone: (570) Fax: (570) St Lukes Miners Memorial Hospital CBC # NPI/Ref # W Ruddle St Coaldale, PA Phone: (570) Fax: (570) Union Evangelical Counity Hospital CBC # NPI/Ref # Hospital Dr Lewisburg, PA Phone: (570) Fax: (570) Hanover Hospital CBC # NPI/Ref # Highland Ave Hanover, PA Phone: (717) Fax: (717) Memorial Hospital CBC # NPI/Ref # S Belmont St, PA Phone: (717) Fax: (717) Acute Care Hospital Outpatient Site St Joseph Medical CBC # NPI/Ref # St Jos RHN at Broadcasting 2610 Keiser Blvd Phone: (610) Fax: (610) St Jos RHN at Heritage of Green Hills 200 Tranquility Ln Reading, PA Phone: (484) Fax: (610) St Joseph Health Network at Spring Ridge 2605 Keiser Blvd 2nd Fl Phone: (610) Chester General Hospital CBC # NPI/Ref # General Health Ctr- Parkesburg 950 S Octorara Trl Parkesburg, PA Phone: (610) Fax: (610) St Joseph Medical CBC # NPI/Ref # St Joseph Health Network at Elverson 45 S Pine St Elverson, PA Phone: (610) Fax: (610) Holy Spirit Hospital CBC # NPI/Ref # Holy Spirit Cardiovascular Imaging 101 Erford Rd Ste 101 Phone: (717) Fax: (717) Holy Spirit Carlisle Imaging 1211 Forge Rd Ste 400 Carlisle, PA Phone: (717) Fax: (717) Holy Spirit Magnetic Imaging 4665 E Trindle Rd Mechanicsburg, PA Phone: (717) Fax: (717) HSH Laboratory at Century Dr 856 Century Dr Mechanicsburg, PA Phone: (717) PinnacleHealth Hospitals CBC # NPI/Ref # Fredrickson Outpatient Ctr 2015 Technology Pkwy Mechanicsburg, PA Phone: (717) PinnacleHealth Cardiovascular Institute 1000 N Front St Wormleysburg, PA Phone: (717) Fax: (717) PinnacleHealth Cardiovascular Institute 360 Alexander Spring Rd Carlisle, PA Phone: (717) Fax: (717) PinnacleHealth Cardiovascular Institute 900 Century Dr Ste 100 Mechanicsburg, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at Camp Hill 240 Grandview Ave Phone: (717) Fax: (717) PinnacleHealth Imaging at Heritage 3 Walnut St Lemoyne, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at Silver Spring 21 Waterford Dr Mechanicsburg, PA Phone: (717) Fax: (717) PinnacleHealth Lab Srvcs at Silver Sprg 21 Waterford Dr Mechanicsburg, PA Phone: (717) Fax: (717) PinnacleHealth Ortenzio Cancer Ctr 2035 Technology Pkwy Mechanicsburg, PA Phone: (717) Fax: (717) PinnacleHealth Physical Therapy Fredrickson Outpatient 2015 Technology Pkwy Mechanicsburg, PA Phone: (717) Fax: (717) PinnacleHealth PT of Camp Hill 3 Walnut St Ste 110 Lemoyne, PA Phone: (717) Fax: (717) PinnacleHlth Lab Svcs Belvedere Med Ctr 850 Walnut Bottom Rd Ste 104 Carlisle, PA Phone: (717) Fax: (717) Holy Spirit Hospital CBC # NPI/Ref # Holy Spirit Cardiovascular Imaging 5 Capital Dr Ste 203 Phone: (717) Fax: (717) Holy Spirit Imaging Ctr East 4230 Crums Mill Rd Phone: (717) HOSPITALS For a list of services offered at Acute Care Hospital Outpatient Sites, please contact the facility directly. Handicap Accessible Page 3

4 Acute Care Hospital Outpatient Site HOSPITALS HSH East Shore Laboratory 2808 Old Post Rd Phone: (717) PinnacleHealth Hospitals CBC # NPI/Ref # Adams Dr Huelstown, PA Phone: (717) Fax: (717) PinnacleHealth Bloom Diagnostic Ctr 4310 Londonderry Rd Phone: (717) PinnacleHealth Cardiovascular Institute 2808 Old Post Rd Phone: (717) Fax: (717) PinnacleHealth Imaging at Hershey 32 Northeast Dr Ste 101 Hershey, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at Linglestown 2808 Old Post Rd Phone: (717) Fax: (717) PinnacleHealth Imaging at Lower Paxton 2310 Patton Rd Harrisburg, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at Middletown 1025 Harrisburg Pike Middletown, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at Millersburg 1000 Evelyn Dr Millersburg, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at Union Deposit 4518 Union Deposit Rd Harrisburg, PA Phone: (717) Fax: (717) PinnacleHealth Imaging at West Hanover 8012 Bretz Dr Harrisburg, PA Phone: (717) Fax: (717) PinnacleHealth Lab Svcs at Lower Paxton 2310 Patton Rd Ste B Harrisburg, PA Phone: (717) Fax: (717) PinnacleHealth Lab Svcs at Middletown 1025 Harrisburg Pike Middletown, PA Phone: (717) Fax: (717) PinnacleHealth Lab Svcs at Millersburg 1000 Evelyn Dr Millersburg, PA Phone: (717) Fax: (717) PinnacleHealth Lab Svcs at Old Post Road 2808 Old Post Rd Phone: (717) Fax: (717) PinnacleHealth Lab Svcs at West Hanover 8012 Bretz Dr Harrisburg, PA Phone: (717) Fax: (717) PinnacleHealth Medical Sciences Pavilion 4300 Londonderry Rd Phone: (717) PinnacleHealth PT at Middletown 1025 Harrisburg Pike Middletown, PA Phone: (717) Fax: (717) PinnacleHealth PT of Elizabethtown 125 E Main St Elizabethville, PA Phone: (717) Fax: (717) Polyclinic Campus 2501 N 3rd St Phone: (717) Women's Cancer Ctr - PinnacleHealth Hosp 3901 N Front St Phone: (717) Fax: (717) Franklin PinnacleHealth Hospitals CBC # NPI/Ref # PinnacleHealth Cardiovascular Institute 757 Norland Ave Ste 205 Phone: (717) Fax: (717) General Hospital CBC # NPI/Ref # N 7th St Columbia, PA Phone: (717) Fax: (717) Columbia Health Ctr 631 Poplar St Columbia, PA Phone: (717) Fax: (717) Crooked Oak Medical Svcs 1671 Crooked Oak Dr, PA Phone: (717) Fax: (717) Kissel Hill Health Ctr 51 Peters Rd Lititz, PA Phone: (717) Fax: (717) General Norlanco 424 Cloverleaf Rd Elizabethtown, PA Phone: (717) Fax: (717) General Women's & Babies Hosp 690 Good Dr, PA Phone: (717) Fax: (717) Walter L Aument Family Hlth Ctr 317 S Chestnut St Quarryville, PA Phone: (717) Fax: (717) Willow Lakes Medical Svcs 222 Willow Vly Lakes Dr Willow Street, PA Phone: (717) Fax: (717) Good Samaritan Hospital CBC # NPI/Ref # GSH Ambulatory Services Ctr 1400 S Forge Rd Palmyra, PA Phone: (717) Fax: (717) GSH Cardiovascular Diagnostic Ctr 781 Norman Dr, PA Phone: (717) GSH Ctr Wound Care Hyperbaric Med 840 Tuck St, PA Phone: (717) Fax: (717) GSH OP Surgical Ctr 830 Tuck St, PA Phone: (717) Fax: (717) GSH OP Diagnostic Ctr E County 297 W Lincoln Ave Myerstown, PA Phone: (717) Fax: (717) GSH OP Physical Therapy 1400 S Forge Rd Palmyra, PA Phone: (717) Fax: (717) GSH OP Physical Therapy 950 Isabel Dr Quentin Cir, PA Phone: (717) Fax: (717) GSH OP Radiology Ctr 805 Helen Dr, PA Phone: (717) Fax: (717) GSH Satellite Services Jonestown Ctr 100 Queen St Jonestown, PA Phone: (717) Fax: (717) Perry Holy Spirit Hospital CBC # NPI/Ref # Duncannon Xray & Maography 510 New Bloomfield Rd Duncannon, PA Phone: (717) PinnacleHealth Hospitals CBC # NPI/Ref # PinnacleHealth Imaging at Newport 32 W Shortcut Dr Newport, PA Phone: (717) Fax: (717) Memorial Hospital CBC # NPI/Ref # th Ave, PA Phone: (717) Fax: (717) Greenbriar Medical Ctr 520 Greenbriar Rd, PA Phone: (717) PinnacleHealth Hospitals CBC # NPI/Ref # PinnacleHealth Imaging at Dillsburg 1 Trinity Dr E Dillsburg, PA Phone: (717) Fax: (717) PinnacleHealth Lab Svcs at Dillsburg 1 Trinity Dr Dillsburg, PA Phone: (717) Fax: (717) PinnacleHealth PT of Dillsburg 860 N US 15 Dillsburg, PA Phone: (717) Fax: (717) Long Term Acute Care Hospital Select Specialty Hospital - Central PA-Harrisburg CBC # NPI/Ref # S Front St Alex Grass Bldg 5th Fl Harrisburg, PA Phone: (717) Fax: (717) Montour Select Specialty Hospital - Danville CBC # NPI/Ref # Bush Pavilion 3rd Fl MC N Academy Ave Danville, PA Phone: (570) Fax: (570) Rehabilitation Hospital Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # Good Shep O/P Rehab - Blandon Maidencreek Towne Ctr 850 Golden Dr Ste 13/14 Blandon, PA Phone: (610) Fax: (610) Good Shep O/P Rehab - Kutztown 333 Normal Ave Kutztown, PA Phone: (610) Fax: (610) Good Shep PT - Hamburg 500 Hawk Dr Ste 2A Hamburg, PA Phone: (610) Fax: (610) HEALTHSOUTH Reading Rehabilitation Hospital CBC # NPI/Ref # Morgantown Rd Reading, PA Phone: (610) Fax: (610) Bucks Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # Good Shep O/P Rehab - Quakertown 134 Mill Rd Quakertown, PA Phone: (215) Fax: (610) Carbon Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # Good Shep O/P Rehab - Palmerton 3295 Forest Inn Rd Palmerton, PA Phone: (610) Fax: (610) Centre HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # NPI/Ref # W College Ave Pleasant Gap, PA Phone: (814) Fax: (814) Columbia Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # NPI/Ref # Glen Ave Ste 101 Bloomsburg, PA Phone: (570) Fax: (570) Geisinger HEALTHSOUTH Rehab Ctr of Berwick 2202 W Front St Berwick, PA Phone: (570) Fax: (570) Geisinger HEALTHSOUTH Rehab Ctr of Bloomsburg 415 Central Rd Bloomsburg, PA Phone: (570) Fax: (570) HEALTHSOUTH Rehabilitation of Mechanicsburg CBC # NPI/Ref # Blvd Mechanicsburg, PA Phone: (717) Fax: (717) Penn State Hershey Rehabilitation LLC CBC # NPI/Ref # Old W Chocolate Ave Huelstown, PA Phone: (717) Fax: (717) Handicap Accessible Page 4 For a list of services offered at Acute Care Hospital Outpatient Sites, please contact the facility directly.

5 Rehabilitation Unit Juniata HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # NPI/Ref # HEALTHSOUTH O/P Rehab Ctr 4 Industrial Park Rd Mifflintown, PA Phone: (717) Fax: (717) Rehabilitation Hospital CBC # NPI/Ref # Good Dr, PA Phone: (717) Fax: (717) Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # S 5th St Phone: (610) Fax: (610) Good Shep O/P Rehab - Cedar Crest 1243 S Cedar Crest Blvd Phone: (610) Fax: (610) Good Shep O/P Rehab - Valley 4883 Rte 309 Valley, PA Phone: (610) Fax: (610) Good Shep O/P Rehab - Hlth & Tech Ctr 850 S 5th St Phone: (610) Fax: (610) Good Shep O/P Rehab - Macungie 6465 Village Ln Ste 5 Macungie, PA Phone: (484) Fax: (610) Good Shep O/P Rehab - Ortho & Hand Unit 850 S 5th St Phone: (610) Fax: (610) Good Shep O/P Rehab - Pediatrics Hlth 850 S 5th St Phone: (610) Fax: (610) Good Shep O/P Rehab - Schnecksville 4110 Independence Dr Rear Ste 200 Schnecksville, PA Phone: (610) Fax: (610) Good Shep O/P Therapy Sacred Heart Living by Saucon Crk 4851 Saucon Creek Rd Valley, PA Phone: (610) Fax: (610) Good Shep O/P Therapy Whitehall Mnr Assisted Living th St Whitehall, PA Phone: (610) Fax: (610) Good Shep PT - Coopersburg 101 S Main St 3rd Fl Coopersburg, PA Phone: (610) Fax: (610) Good Shep Rehab - Laurys Station Riverside Prof Ctr Ste Wynnwood Dr Rte 145 Laurys Station, PA Phone: (610) Fax: (610) Mifflin HEALTHSOUTH Nittany Valley Rehabilitation Hospital CBC # NPI/Ref # HEALTHSOUTH O/P Rehab Ctr 99 Juniata St Lewistown, PA Phone: (717) Fax: (717) Monroe Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # Good Shep O/P Rehab - Stroudsburg 1619 N 9th St Ste 4 Stroudsburg, PA Phone: (570) Fax: (610) Good Shep Rehab - Pocono Med Ctr 206 E Brown St East Stroudsburg, PA Phone: (570) Fax: (570) Montgomery Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # Good Shep PT - East Greenville 622 Gravel Pike Ste 110 East Greenville, PA Phone: (215) Fax: (610) Good Shep PT - Souderton 4036 Bethlehem Pike Telford, PA Phone: (215) Fax: (610) HEALTHSOUTH Reading Rehabilitation Hospital CBC # NPI/Ref # HEALTHSOUTH Rehab Ctr - Pottstown 1566 Medical Dr Ste 104 Pottstown, PA Phone: (610) Fax: (610) Montour Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # NPI/Ref # Rehab Ln Danville, PA Phone: (570) Fax: (570) Geisinger HEALTHSOUTH Rehab Ctr of Danville 109 Woodbine Ln Danville, PA Phone: (570) Fax: (570) Good Shepherd Rehabilitation Hospital CBC # NPI/Ref # Good Shep O/P Rehab - Bath 5970 Nor Bath Blvd Bath, PA Phone: (610) Fax: (610) Good Shep O/P Rehab - 44 W 21st St, PA Phone: (610) Fax: (610) Good Shep O/P Rehab - Slatebelt 422 Blue Valley Dr Bangor, PA Phone: (610) Fax: (610) Good Shep O/P Therapy Sacred Heart Sr Living by Crk 602 E 21st St, PA Phone: (610) Fax: (610) Good Shep O/P Therapy Saucon Valley Mnr 1050 Main St Hellertown, PA Phone: (610) Fax: (610) Good Shep Rehab - Pediatric Unit 2855 Schoenersville Rd Phone: (610) Fax: (610) Good Shepherd Physical Therapy N Bethlehem/CORE Physical Therapy 3201 Highfield Dr Ste F Bethlehem, PA Phone: (610) Fax: (610) Northumberland Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # NPI/Ref # Geisinger HEALTHSOUTH Rehab Ctr of Kulpmont 3 Vermont Dr Kulpmont, PA Phone: (570) Fax: (570) Geisinger HEALTHSOUTH Rehab Ctr of Milton 155 Arch St Milton, PA Phone: (570) Fax: (570) Snyder Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # NPI/Ref # Geisinger HEALTHSOUTH Rehab Ctr of Selinsgrove 620 University Ave Selinsgrove, PA Phone: (570) Fax: (570) HEALTHSOUTH Rehabilitation Hospital of CBC # NPI/Ref # Normandie Dr, PA Phone: (717) Fax: (717) HEALTHSOUTH Rehab Ctr - Industrial Hwy 2127 Industrial Hwy, PA Phone: (717) Fax: (717) HEALTHSOUTH Rehab Ctr - Red Lion 679 Lombard Rd Red Lion, PA Phone: (717) Fax: (717) Rehabilitation Unit HEALTHSOUTH Reading Rehabilitation Hospital CBC # 39T302 NPI/Ref # Brain Injury Unit 1623 Morgantown Rd Reading, PA Phone: (610) Reading Hospital and Medical Rehabilitation Unit CBC # 39T044 NPI/Ref # Papermill Rd Phone: (484) Fax: (484) Centre HEALTHSOUTH Nittany Valley Rehabilitation Hospital Brain Treatment Unit CBC # 39T339 NPI/Ref # W College Ave Pleasant Gap, PA Phone: (814) Fax: (814) Columbia Geisinger HEALTHSOUTH Rehabilitation Hospital CBC # 39T347 NPI/Ref # W Front St Berwick, PA Phone: (570) Fax: (570) Carlisle Regional Medical Rehabilitation Unit CBC # 39T058 NPI/Ref # Village Dr Ste 4 Carlisle, PA Phone: (717) Fax: (717) HEALTHSOUTH Rehabilitation of Mechicsburg Brain Treatment Unit CBC # 39T310 NPI/Ref # Blvd Mechanicsburg, PA Phone: (717) Fax: (717) PinnacleHealth Hospitals Rehabilitation Unit CBC # 39T067 NPI/Ref # Helen M Simpson Rehab Hosp PinnacleHealth Co Campus 4300 Londonderry Rd Phone: (717) Franklin Chambersburg Hospital Rehabilitation Unit CBC # 39T151 NPI/Ref # N 7th St Phone: (717) Fax: (717) Regional Medical Rehabilitation Unit CBC # 39T061 NPI/Ref # College Ave, PA Phone: (717) Fax: (717) Good Samaritan Hospital Rehabilitation Unit CBC # 39T066 NPI/Ref # th & Willow Sts, PA Phone: (717) Fax: (717) Good Shepherd Rehabilitation Head/Spinal Rehab Unit CBC # 39T335 NPI/Ref # S 5th St Phone: (610) Fax: (610) Easton Hospital Rehabilitation Unit CBC # 39T162 NPI/Ref # S 21st St Easton, PA Phone: (610) Fax: (610) St Lukes Hospital Rehabilitation Unit CBC # 39T049 NPI/Ref # Ostrum St Bethlehem, PA Phone: (610) Fax: (610) Schuylkill Schuylkill Medical Ctr-E Norwegian St-Rehab Unit CBC # 39T031 NPI/Ref # E Norwegian St Pottsville, PA Phone: (570) Fax: (570) HOSPITALS Handicap Accessible Page 5

6 Rehabilitation Unit HOSPITALS Union Evangelical Counity Hospital Acute Rehab Unit CBC # 39T013 NPI/Ref # Hospital Dr Lewisburg, PA Phone: (570) Fax: (570) HEALTHSOUTH Rehabilitation Hospital of Brain Treatment Unit CBC # 39T337 NPI/Ref # Normandie Dr, PA Phone: (717) Fax: (717) Handicap Accessible Page 6

7 23-Hour Psych Observation 23-Hour Psych Observation Regional Medical CBC # NPI/Ref # College Ave, PA Phone: (717) Fax: (717) Crisis Stabilization - Outpatient Northumberland Sunbury Counity Hospital CBC # NPI/Ref # N 11th St Sunbury, PA Phone: (570) Hospital CBC # NPI/Ref # S George St, PA Phone: (717) Fax: (717) Electro Convulsive Therapy - Inpatient Reading Hospital and Medical CBC # NPI/Ref # th Ave & Spruce St Reading, PA Phone: (610) Fax: (610) Holy Spirit Hospital CBC # NPI/Ref # N 21st St Phone: (717) Fax: (717) Pennsylvania Psychiatric Institute CBC # NPI/Ref # N 3rd St Phone: (717) Fax: (717) Sacred Heart Hospital CBC # NPI/Ref # W Chew St Allentown, PA Phone: (610) Fax: (610) Hospital CBC # NPI/Ref # S George St, PA Phone: (717) Fax: (717) Electro Convulsive Therapy - Outpatient Reading Hospital and Medical CBC # NPI/Ref # th Ave & Spruce St Reading, PA Phone: (610) Fax: (610) Holy Spirit Hospital CBC # NPI/Ref # N 21st St Phone: (717) Fax: (717) Pennsylvania Psychiatric Institute CBC # NPI/Ref # N 3rd St Phone: (717) Fax: (717) Sacred Heart Hospital CBC # NPI/Ref # W Chew St Allentown, PA Phone: (610) Fax: (610) Hospital CBC # NPI/Ref # S George St, PA Phone: (717) Fax: (717) Outpatient Bridge Appointment Program Haven Behavioral Hospital of Eastern PA CBC # NPI/Ref # N 6th St Reading, PA Phone: (610) Fax: (610) Reading Hospital and Medical CBC # NPI/Ref # th Ave & Spruce St Reading, PA Phone: (610) Fax: (610) Outpatient Psychiatric Pennsylvania Psychiatric Institute CBC # NPI/Ref # N 3rd St Phone: (717) Fax: (717) Pennsylvania Psychiatric Institute CBC # NPI/Ref # Division St Phone: (717) Fax: (717) Pennsylvania Psychiatric Institute CBC # NPI/Ref # Northeast Dr Hershey, PA Phone: (717) Fax: (717) Philhaven Hospital CBC # NPI/Ref # N Reading Rd Ephrata, PA Phone: (717) Fax: (717) Philhaven Hospital CBC # NPI/Ref # Cloverleaf Rd Elizabethtown, PA Phone: (717) Fax: (717) Philhaven Hospital CBC # NPI/Ref # Rohrerstown Rd, PA Phone: (717) Philhaven Hospital CBC # NPI/Ref # Hathaway Park, PA Phone: (717) Fax: (717) Philhaven Hospital CBC # NPI/Ref # Butler Rd Mount Gretna, PA Phone: (717) Fax: (717) Haven House CBC # NPI/Ref # N 2nd St Allentown, PA Phone: (610) Fax: (610) Omni Health Services CBC # NPI/Ref # Hamilton St Ste 100 Allentown, PA Phone: (484) Fax: (484) Northeastern Services CBC # NPI/Ref # E Broad St Ste O-00 Bethlehem, PA Phone: (610) Fax: (610) Outpatient Substance Abuse Disorders Adams Pennsylvania Counseling Services CBC # NPI/Ref # St Gettysburg, PA Phone: (717) Fax: (717) Counseling CBC # NPI/Ref # Penn St Reading, PA Phone: (610) Fax: (610) Pennsylvania Counseling Services CBC # NPI/Ref # Penn St Reading, PA Phone: (610) Fax: (610) Reading Hospital and Medical CBC # NPI/Ref # th Ave & Spruce St Reading, PA Phone: (610) Fax: (610) Reading Hospital and Medical CBC # NPI/Ref # N Furnace St Ste 100 Birdsboro, PA Phone: (610) Fax: (610) Reading Hospital and Medical CBC # NPI/Ref # Buttonwood St Reading, PA Phone: (610) Fax: (484) Reading Hospital for Mental health CBC # NPI/Ref # Kutztown Boehm Science Kutztown Rd Kutztown, PA Phone: (610) New Insights CBC # NPI/Ref # State St Lemoyne, PA Phone: (717) Fax: (717) Mazzitti and Sullivan CBC # NPI/Ref # E Chocolate Ave Hershey, PA Phone: (717) Mazzitti and Sullivan CBC # NPI/Ref # N Front St Phone: (717) Fax: (717) Pennsylvania Counseling Services CBC # NPI/Ref # Locust Ln Phone: (717) Fax: (717) Franklin Pennsylvania Counseling Services CBC # NPI/Ref # S Main St Phone: (717) Fax: (717) Freedom CBC # NPI/Ref # N Lime St, PA Phone: (717) Fax: (717) Pennsylvania Counseling Services CBC # NPI/Ref # Pearl St, PA Phone: (717) Fax: (717) Pennsylvania Counseling Services CBC # NPI/Ref # St, PA Phone: (717) Fax: (717) Habit Opco Allentown CBC # NPI/Ref # S Cedarbrook Rd Phone: (610) Fax: (610) Livengrin Foundation CBC # NPI/Ref # Hanover Office Plz 961 Marcon Blvd Ste 304 Allentown, PA Phone: (610) Fax: (610) Malvern Institute CBC # NPI/Ref # Marcon Blvd Allentown, PA Phone: (610) Fax: (610) Mid Atlantic Rehab Services CBC # NPI/Ref # Delaware Ave Bethlehem, PA Phone: (610) Fax: (610) Raft Treatment LLC CBC # NPI/Ref # Broad St Ste 101 Eaus, PA Phone: (610) Fax: (610) BEHAVIORAL HEALTH FACILITIES Handicap Accessible Page 7

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