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Contact Information

ST. LUKE'S PHYSICIAN GROUP, INC.
701 OSTRUM ST
SUITE 102
FOUNTAIN HILL, PA18015-1155
 Phone: 610-954-4960
 Fax: 610-954-3162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ST. LUKE'S PHYSICIAN GROUP, INC.

NPI Number 1124034517
LBN Legal business name ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official DEAN EVANS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2006
Last updated 04/15/2010 - About 16 years ago
Identifiers
PA Medicaid 1007307530190
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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