St. Luke'S Physician Group, Inc.

LBN: St. Luke'S Physician Group, Inc.
St. Luke'S Physician Group, Inc. is an health care organization with primary practice located at 701 Ostrum St Suite 501, Fountain Hill PA 18015-1155. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. St. Luke'S Physician Group, Inc. can be contacted via phone (484) 526-6161, or through Evans, Dean W. via phone (484) 526-3383.

Contact Information

Primary practice address
701 Ostrum St Suite 501 Fountain Hill PA 18015-1155
Phone: (484) 526-6161
Fax: (484) 526-6385
Website:
Map and Directions
Authorized official contact:
Name: Evans, Dean W.
Phone: (484) 526-3383

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1508104894
LBN Legal business name St. Luke'S Physician Group, Inc.
DBA Doing business as
Authorized official Evans, Dean W.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2013
Last updated Jan 24th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508104894 NPPES
Pennsylvania MEDICAID 100730753

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