Provider Demographics
NPI:1699032425
Name:ST. LUKE'S UNIVERSITY HEALTH NETWORK
Entity Type:Organization
Organization Name:ST. LUKE'S UNIVERSITY HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF EMERGENCY MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1866-785-8537
Mailing Address - Street 1:246 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BARNESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18214-2310
Mailing Address - Country:US
Mailing Address - Phone:570-467-3047
Mailing Address - Fax:
Practice Address - Street 1:246 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:PA
Practice Address - Zip Code:18214-2310
Practice Address - Country:US
Practice Address - Phone:257-046-7304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA002835282N00000X
PAMA055382282N00000X
PAOX00879282N00000X
PAMM2597586282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital