Active NPI
St. Lukes Hospital
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bethlehem, PA
National Provider Identifier
1073607172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 451201
- Legal business name
- ST. LUKES HOSPITAL
- Practice address
- 801 Ostrum St
Bethlehem, PA 18015-1000 - Phone
- (610) 954-4000
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Andrea T Rosko
- Title
- Executive Director, Slpho
- Phone
- (610) 954-4132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 451201 | PA | Primary |
Addresses
Primary practice location
801 Ostrum St
Bethlehem, PA 18015-1000
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007552510051 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319587200000",
"number": "1073607172",
"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": "610-954-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OSTRUM ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180151000",
"telephone_number": "610-954-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LUKES HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2011-10-26",
"status": "A",
"authorized_official_last_name": "ROSKO",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, SLPHO",
"authorized_official_telephone_number": "610-954-4132",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "PA",
"license": "451201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007552510051",
"state": "PA"
}
],
"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 Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.