Healthcare Provider Details

I. General information

NPI: 1194380154
Provider Name (Legal Business Name): ST. LUKE'S HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

614 DELAWARE AVE
PALMERTON PA
18071-2003
US

IV. Provider business mailing address

801 OSTRUM ST ST. LUKE'S CVO
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS LICHTENWALNER
Title or Position: SENIOR VP FINANCE
Credential:
Phone: 484-526-3383