| St Luke's Physician Group, Inc | |
| 134 W Ridge St Lansford PA 18232-1310 | |
| (570) 645-3133 | |
| Not Available | 
| Full Name | St Luke's Physician Group, Inc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 134 W Ridge St, Lansford, Pennsylvania | 
| Authorized Official Name and Position | Sue Chiavaroli (CVO SUPERVISOR) | 
| Authorized Official Contact | 4845263569 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| St Luke's Physician Group, Inc 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-4000 | St Luke's Physician Group, Inc 134 W Ridge St Lansford PA 18232-1310 Ph: (570) 645-3133 | 
| NPI Number | 1659905347 | 
|---|---|
| Provider Enumeration Date | 03/03/2020 | 
| Last Update Date | 03/03/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659905347 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| The Carbon-schuylkill Community Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Patterson St, Suite 201, Lansford, PA 18232 Phone: 272-639-5020 | |
| Panther Valley Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 W Ridge St, Lansford, PA 18232 Phone: 570-645-3133 | |
| The Carbon-schuylkill Community Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W Patterson St, Suite 201, Lansford, PA 18232 Phone: 272-639-5020 Fax: 272-639-5017 |