NPIMap

Organization Active NPI

St. Luke's North Dialysis Center, LP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1003832981
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
392696 Issued in PA
Legal business name
ST. LUKE'S NORTH DIALYSIS CENTER, LP
Practice address
89 S Commerce Way
Bethlehem, PA 18017-8952
Phone
(610) 954-2888
Fax
(610) 954-2880
NPI assigned
Jul 14, 2006
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Henriette Caroline Frey
Title
Associate Vice President Finance
Phone
(610) 954-3328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 392696 PA Primary

Addresses

Primary practice location

89 S Commerce Way
Bethlehem, PA 18017-8952

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-3328

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1003832981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "610-954-3328",
            "fax_number": "610-954-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 S COMMERCE WAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178952",
            "telephone_number": "610-954-2888",
            "fax_number": "610-954-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S NORTH DIALYSIS CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "HENRIETTE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "ASSOCIATE VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "610-954-3328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PA",
            "license": "392696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.