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Contact Information

ST. LUKE'S PHYSICIAN GROUP, INC
2599 STATE ROUTE 903
ALBRIGHTSVILLE, PA18210
 Phone: 570-645-1945
 Fax: 570-645-1946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

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

NPI # 1639554942
LBN Legal business name ST. LUKE'S PHYSICIAN GROUP, INC
Authorized official DEAN EVANS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2015
Last updated 02/07/2018 - About 8 years ago
Identifiers
PA Other 686024 MEDICARE GROUP
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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