Healthcare Provider Details

I. General information

NPI: 1326118126
Provider Name (Legal Business Name): ST LUKE'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 EASTON AVE
BETHLEHEM PA
18017-4204
US

IV. Provider business mailing address

623 E BROAD ST
BETHLEHEM PA
18018-6332
US

V. Phone/Fax

Practice location:
  • Phone: 610-954-3555
  • Fax: 610-954-3560
Mailing address:
  • Phone: 610-954-6048
  • Fax: 610-954-3189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: DEAN W EVANS
Title or Position: PRESIDENT
Credential:
Phone: 610-954-4991