Organization · Type 2 NPI

St. Luke's Physician Group, Inc.

Clinic/Center · Allentown, PA

NPI number 1043809635 Active

Practice location

421 Chew St Ste 101
Allentown, PA 18102-3406

Call (484) 526-4000 Map

Mailing address

77 S Commerce Way
Bethlehem, PA 18017-8891

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1043809635
Entity type: Organization (Type 2)
Issued: Jan 18, 2021
Last updated: Jan 18, 2021
Status: Active
Subpart: Yes of St. Luke's Physician Group, Inc.

Other names

ST Lukes Partial Hospital Program Sacred Heart · doing business as

Authorized official

Sue Chiavaroli
Cvo Enrollment Supervisor
(484) 526-3569

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043809635

St. Luke's Physician Group, Inc.'s National Provider Identifier is 1043809635, issued on Jan 18, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Allentown, PA. The record was last updated on Jan 18, 2021.