MEDICARE: ST. LUKE'S HOSPITAL MONROE CAMPUS

Medicare Provider Information

Scope of Practice

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

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

General Provider Information

NPI Number	:	1831618560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. LUKE'S HOSPITAL MONROE CAMPUS

Provider Business Mailing Address
First Line	:	801 OSTRUM ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18015-1000
Country	:	US
Telephone Number	:	272-212-0420
Fax Number	:	272-212-0422

Provider Business Practice Location Address
First Line	:	111 ROUTE 715 STE 102
Second Line	:
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-7101
Country	:	US
Telephone Number	:	272-212-0420
Fax Number	:	272-212-0422

Authorized Official
Title or Position	:	SVP OF FINANCE
Name	:	SCOTT WOLFE
Credential	:
Telephone Number	:	484-526-3301

Provider Enumeration Date	:	09/13/2017
Last Update Date	:	09/04/2025

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Directions to “ST. LUKE'S HOSPITAL MONROE CAMPUS ” Practice Location

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