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Contact Information

ST. LUKE'S PHYSICIAN GROUP, INC.
512 BANK ST
BOWMANSTOWN, PA18030
 Phone: 484-526-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

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

NPI # 1376107235
LBN Legal business name ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official SUE CHIAVAROLI - (SUPERVISOR - ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2019
Last updated 07/17/2019 - About 7 years ago
Identifiers n/a
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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