| St. Luke's Physician Group, Inc. | |
| 143 N Railroad St Tamaqua PA 18252-1330 | |
| (484) 526-4000 | |
| Not Available | 
| Full Name | St. Luke's Physician Group, Inc. | 
|---|---|
| Speciality | Family Medicine | 
| Location | 143 N Railroad St, Tamaqua, Pennsylvania | 
| Authorized Official Name and Position | Susan 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: (570) 645-1540 | St. Luke's Physician Group, Inc. 143 N Railroad St Tamaqua PA 18252-1330 Ph: (484) 526-4000 | 
| NPI Number | 1255438529 | 
|---|---|
| Provider Enumeration Date | 09/20/2006 | 
| Last Update Date | 06/24/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255438529 | NPI | - | NPPES | 
| 1007307530232 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary | 
| St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 E Broad St, Tamaqua, PA 18252 Phone: 570-668-6541 Fax: 570-325-5495 | |
| Carbon - Schuylkill Community Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 S Railroad St, Tamaqua, PA 18252 Phone: 484-526-4766 | |
| The Carbon Schuylkill Community Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 34 S Railroad St, Tamaqua, PA 18252 Phone: 570-645-1950 Fax: 570-645-1955 | |
| Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Claremont Ave, Tamaqua, PA 18252 Phone: 570-225-7211 | |
| St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 253 Claremont Ave, Tamaqua, PA 18252 Phone: 570-668-6111 Fax: 570-668-4551 | |
| Northeast Critical Care Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 229 W Broad St, Tamaqua, PA 18252 Phone: 570-657-1634 Fax: 570-645-3397 |