MEDICARE: ST. LUKE'S HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207P00000X	Emergency Medicine Physician
2	207Q00000X	Family Medicine Physician
3	207QS0010X	Sports Medicine (Family Medicine) Physician
4	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician
5	2083X0100X	Occupational Medicine Physician
6	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306918297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. LUKE'S HOSPITAL

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	484-526-3383
Fax Number	:	484-526-6500

Provider Business Practice Location Address
First Line	:	1104 NORTH ST
Second Line	:
City	:	JIM THORPE
State	:	PA
Zip	:	18229-1717
Country	:	US
Telephone Number	:	570-325-2400
Fax Number	:

Authorized Official
Title or Position	:	ASSOCIATE VP FINANCE
Name	:	SCOTT WOLFE
Credential	:
Telephone Number	:	484-526-3383

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/07/2025

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