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ST. LUKE'S PHYSICIAN GROUP INC. NPI 1437101540


NPI Information

NPI: 1437101540
Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC.

Doing Business As: COOPERSBURG CENTER VALLEY FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D2300674

Address:
5848 OLD BETHLEHEM PIKE
SUITE 101
CENTER VALLEY, PA
ZIP 18034
Phone: (610) 282-2155
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ST. LUKE'S PHYSICIAN GROUP, INC. is a family medicine in Center Valley, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. LUKE'S PHYSICIAN GROUP, INC. NPI is 1437101540. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coopersburg Center Valley Family Practice.

The provider's business location address is:

5848 OLD BETHLEHEM PIKE
SUITE 101
CENTER VALLEY, PA
ZIP 18034-484
Phone: (610) 282-2155
Fax: (610) 282-2350

The provider's authorized official is Dean W Evans .
The authorized official title is President and has the following contact phone number (610) 954-4991.

The CLIA number assigned to this NPI record is 39D2300674 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 4/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1075786MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE
2100730753MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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