ST. LUKE'S PHYSICIAN GROUP INC NPI 1841936051

NPI Information

  • NPI: 1841936051
  • Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ST. LUKE'S HAZLETON PRIMARY CARE
  • CLIA Number: 39D2263121
  • Address: 1097 N CHURCH ST
    HAZLE TOWNSHIP, PA
    ZIP 18202
  • Phone: (484) 526-4000

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NPI Details

ST. LUKE'S PHYSICIAN GROUP, INC is a family medicine in Hazle Township, 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 1841936051. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Hazleton Primary Care.

The provider's business location address is:

1097 N CHURCH ST
HAZLE TOWNSHIP, PA
ZIP 18202-465
Phone: (484) 526-4000
Fax: (833) 213-6428

The provider's authorized official is Joseph Minahan .
The authorized official title is President and has the following contact phone number (484) 526-6162.

The CLIA number assigned to this NPI record is 39D2263121 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2022 and was last updated on 6/23/2022.

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

What is NPI?

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This page was last updated on: 11/21/2025

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