Healthcare Provider Details

I. General information

NPI: 1760587182
Provider Name (Legal Business Name): ST. LUKE'S HOSPITAL GRAND VIEW CAMPUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 LAWN AVE
SELLERSVILLE PA
18960-1548
US

IV. Provider business mailing address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 215-453-4000
  • Fax:
Mailing address:
  • Phone: 845-264-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number071001
License Number StatePA

VIII. Authorized Official

Name: SCOTT WOLFE
Title or Position: SENIOR VP FINANCE- CFO
Credential:
Phone: 484-658-0371