1326033556 NPI number — ST. LUKE'S HOSPITAL

Table of content: (NPI 1326033556)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326033556 NPI number — ST. LUKE'S HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. LUKE'S HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE SUMMIT AT BLUE MOUNTAIN NURSING AND REHABILITATION CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326033556
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
211 N. 12TH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEHIGHTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18235-1138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-377-4732
Provider Business Mailing Address Fax Number:
610-377-4758

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
211 N. 12TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGHTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18235-1138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-377-7154
Provider Business Practice Location Address Fax Number:
610-377-7939
Provider Enumeration Date:
09/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WOLFE
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR VP FINANCE
Authorized Official Telephone Number:
484-526-4000

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 314000000X , with the licence number: 070502 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com