Covered Entity Details

DSH390049BZ ST. LUKES HOSPITAL (Approved) - information as of 4/25/2025 6:29:39 PM

Main Details

Name

ST. LUKES HOSPITAL

Subdivision Name

Allentown - Care Now Spring Township

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH390049BZ

Medicare Provider Number

390049

Outpatient Facility Provider Number

Additional Details

Current Program Status

Approved

Registration Date

4/8/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/9/2025

Last Recertification Date

Contacts

Authorizing Official

St. Luke's Hospital
Elizabeth Artis, Finance Director
(484) 526-4707

Primary Contact

St Luke's University Health Network
Steven J Frankenbach, Senior Director, Network Reimbursement
(484) 526-3093

Addresses

Street Address

2701 Shillington Rd
100
Spring Township, PA 19608

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
PA	107552510086,1075525110051,107552510117,107552510121	1013933175,1740232719,1508343906,1760960140,1548293954,1700220985,1326571357,1780149963,1811610108,1417649021

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH390049A	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Infusion	211 North 12th Street	Lehighton	PA	Active
DSH390049AA	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Nuclear Medicine	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AB	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Radiology Diagnostic	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AC	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Wound Care	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AD	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Anesthesiology	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AE	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - CT Scan	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AF	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Cardiology-EKG	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AG	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Operating Room	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AH	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - CT Scan	421 Chew Street	Allentown	PA	Active
DSH390049AJ	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Interventional Radiology Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049AK	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Dialysis	421 Chew Street	Allentown	PA	Active
DSH390049AL	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Radiology Ultrasound	1736 Hamilton Street	Allentown	PA	Active
DSH390049AM	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Radiology CT Scan	1736 Hamilton Street	Allentown	PA	Active
DSH390049AN	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Hamburg Care Now	9 DAVES WAY	HAMBURG	PA	Active
DSH390049AP	Child	DSH	ST. LUKES HOSPITAL	ST LUKES HOSPITAL - Allentown Campus-Pain Management Center	501 CETRONIA ROAD	ALLENTOWN	PA	Active
DSH390049AQ	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Emergency Care Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049AR	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Cardiology-EKG	421 Chew Street	Allentown	PA	Active
DSH390049AS	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - EKG and Diagnostic Cardiology	1736 Hamilton Street	Allentown	PA	Active
DSH390049AT	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Vascular Lab	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AU	Child	DSH	ST. LUKES HOSPITAL	ST. LUKE'S HOSPITAL BETHLEHEM - Bethlehem Campus- Radiology Pet Scanner	153 BRODHEAD RD	BETHLEHEM	PA	Active
DSH390049AV	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Post Acute Anesthesia Care Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049AW	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Respiratory Therapy	421 Chew Street	Allentown	PA	Active
DSH390049AX	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Ultrasound	211 North 12th Street	Lehighton	PA	Terminated
DSH390049AY	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Lanshe Breast Center	421 Chew Street	Allentown	PA	Active
DSH390049AZ	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Allentown Campus-Whitehall Care Now	2402 MACARTHUR RD.	WHITEHALL	PA	Active
DSH390049B	Child	DSH	ST. LUKES HOSPITAL	ST. LUKE'S HOSPITAL BETHLEHEM - Allentown Campus-Cancer Center Suite 100N	240 CETRONIA RD	ALLENTOWN	PA	Active
DSH390049BA	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Pet Scanner	421 Chew Street	Allentown	PA	Active
DSH390049BB	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Cath Lab Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049BC	Child	DSH	ST. LUKES HOSPITAL	ST. LUKE'S HOSPITAL BETHLEHEM - Bethlehem Campus-Pain Management Center	830 OSTRUM ST	BETHLEHEM	PA	Active
DSH390049BD	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Radiology Diagnostic	1736 Hamilton Street	Allentown	PA	Active
DSH390049BE	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Operating Room	1736 Hamilton Street	Allentown	PA	Active
DSH390049BF	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Neurodiagnostic	421 Chew Street	Allentown	PA	Active
DSH390049BG	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Emergency Department	211 North 12th Street	Lehighton	PA	Terminated
DSH390049BH	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Allentown Campus- Urgent Care West End	501 CENTRONIA ROAD	ALLENTOWN	PA	Active
DSH390049BJ	Child	DSH	ST. LUKES HOSPITAL	ST LUKES HOSPITAL - Allentown Campus-West End Endoscopy	501 CETRONIA ROAD	ALLENTOWN	PA	Active
DSH390049BK	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - SH Imaging-Northampton	602B E 21ST ST	NORTHAMPTON	PA	Active
DSH390049BL	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Nuclear Medicine	421 Chew Street	Allentown	PA	Active
DSH390049BM	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Bethlehem Campus- Urgent Care	153 BRODHEAD RD	BETHLEHEM	PA	Active
DSH390049BN	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Ambulatory Procedure Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049BP	Child	DSH	ST. LUKES HOSPITAL	ST. LUKE'S HOSPITAL BETHLEHEM - Bethlehem Campus-Heart and Vascular	1469 8TH AVE	BETHLEHEM	PA	Active
DSH390049BQ	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Anesthesiology	1736 Hamilton Street	Allentown	PA	Active
DSH390049BR	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Anesthesiology	421 Chew Street	Allentown	PA	Active
DSH390049BS	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Respiratory Therapy	1736 Hamilton Street	Allentown	PA	Active
DSH390049BT	Child	DSH	ST. LUKES HOSPITAL	Bethlehem Campus - Center Valley Care Now	5445 Lanark Road	Center Valley	PA	Active
DSH390049BU	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Wound Care	421 Chew Street	Allentown	PA	Active
DSH390049BV	Child	DSH	ST. LUKES HOSPITAL	ST. LUKE'S HOSPITAL - St Lukes Hospital Bethlehem-SL Care Now Kutztown	15065 KUTZTOWN RD	KUTZTOWN	PA	Active
DSH390049BW	Child	DSH	ST. LUKES HOSPITAL	West End Ortho - Radiology Diagnostic	521 Cetronia Rd	Allentown	PA	Active
DSH390049BX	Child	DSH	ST. LUKES HOSPITAL	West End Ortho - Operating Room	521 Cetronia Rd	Allentown	PA	Active
DSH390049BY	Child	DSH	ST. LUKES HOSPITAL	West End Ortho - APU-PACU	521 Cetronia Rd	Allentown	PA	Active
DSH390049BZ	Child	DSH	ST. LUKES HOSPITAL	Allentown - Care Now Spring Township	2701 Shillington Rd	Spring Township	PA	Approved
DSH390049C	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Endoscopy Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049D	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Endoscopy Unit	421 Chew Street	Allentown	PA	Active
DSH390049E	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Interventional Radiology Unit	421 Chew Street	Allentown	PA	Active
DSH390049F	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Ambulatory Procedure Unit	421 Chew Street	Allentown	PA	Active
DSH390049G	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Emergency Department	421 Chew Street	Allentown	PA	Active
DSH390049H	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Ultrasound	421 Chew Street	Allentown	PA	Active
DSH390049J	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Care Now Forks	2003 SULLIVAN TRAIL	EASTON	PA	Active
DSH390049K	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Care Now Jim Thorpe	1104 NORTH ST	JIM THORPE	PA	Active
DSH390049L	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Radiology Interventional	211 North 12th Street	Lehighton	PA	Terminated
DSH390049M	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Pain Management	211 North 12th Street	Lehighton	PA	Terminated
DSH390049N	Child	DSH	ST. LUKES HOSPITAL	Allentown Campus - Labor and Delivery Unit	1736 Hamilton Street	Allentown	PA	Active
DSH390049P	Child	DSH	ST. LUKES HOSPITAL	ST LUKE'S HOSPITAL - Care Now Macungie	2550 ROUTE 100 STE 110	MACUNGIE	PA	Active
DSH390049Q	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - PACU	421 Chew Street	Allentown	PA	Active
DSH390049R	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - PACU	211 North 12th Street	Lehighton	PA	Terminated
DSH390049S	Child	DSH	ST. LUKES HOSPITAL	ST. LUKE'S HOSPITAL BETHLEHEM - Allentown Campus- Radiation Oncology	240 CETRONIA RD	ALLENTOWN	PA	Active
DSH390049T	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Respiratory Therapy	211 North 12th Street	Lehighton	PA	Terminated
DSH390049U	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Operating Room	421 Chew Street	Allentown	PA	Active
DSH390049V	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Infusion	421 Chew Street	Allentown	PA	Active
DSH390049W	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - MRI	211 North 12th Street	Lehighton	PA	Terminated
DSH390049X	Child	DSH	ST. LUKES HOSPITAL	St. Luke's Hospital Lehighton Campus - Ambulatory Procedure Unit	211 North 12th Street	Lehighton	PA	Terminated
DSH390049Y	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - Vascular Lab	421 Chew Street	Allentown	PA	Active
DSH390049Z	Child	DSH	ST. LUKES HOSPITAL	Sacred Heart Campus - MRI Center	421 Chew Street	Allentown	PA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Artis, Elizabeth Finance Director St. Luke's Hospital 4845264707	4/9/2025 7:00 AM
Details	340B ID	Update	New Registration		DSH390049BZ	4/9/2025 7:00 AM
Details	Entity Subname	Update	New Registration	Allentown	Allentown - Care Now Spring Township	4/9/2025 7:00 AM
Dates	Participating Approval Date	Update	New Registration		4/9/2025 7:00:05 AM	4/9/2025 7:00 AM
Details	State	Update	New Registration	Pending	Approved	4/9/2025 7:00 AM
Dates	Signed By Date	Update	New Registration		4/8/2025 4:25:54 PM	4/9/2025 7:00 AM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/9/2025 7:00 AM
Addresses	Main Address	Insert	New Registration		2701 Shillington Rd 100 Spring Township, PA 19608	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		107552510086	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1075525110051	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		107552510117	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		107552510121	4/8/2025 3:02 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1013933175	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1740232719	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1508343906	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1760960140	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1548293954	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1700220985	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1326571357	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1780149963	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1811610108	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1417649021	4/8/2025 3:02 PM
Medicaid Billing	NPI: State	Insert	New Registration		PA	4/8/2025 3:02 PM
Contacts	Primary Contact	Insert	New Registration		Frankenbach, Steven J Senior Director, Network Reimbursement St Luke's University Health Network 4845263093	4/8/2025 3:02 PM
Contacts	Authorizing Official	Insert	New Registration		Artis, Elizabeth Finance Director St. Luke's Hospital 4845264707	4/8/2025 3:02 PM
Details	Assistance Received From Date	Insert	New Registration			4/8/2025 3:02 PM
Details	Assistance Received To Date	Insert	New Registration			4/8/2025 3:02 PM
Details	Last Recertification Date	Insert	New Registration			4/8/2025 3:02 PM
Details	Grant Number	Insert	New Registration			4/8/2025 3:02 PM
Details	340B ID	Insert	New Registration			4/8/2025 3:02 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/8/2025 3:02 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/8/2025 3:02 PM
Details	Medicare Provider Number	Insert	New Registration		390049	4/8/2025 3:02 PM
Details	Entity Name	Insert	New Registration		ST. LUKES HOSPITAL	4/8/2025 3:02 PM
Details	NOFO Number	Insert	New Registration			4/8/2025 3:02 PM
Details	Program Code	Insert	New Registration		DSH	4/8/2025 3:02 PM
Details	Entity Subname	Insert	New Registration		Allentown	4/8/2025 3:02 PM
Dates	Participating Approval Date	Insert	New Registration			4/8/2025 3:02 PM
Details	State	Insert	New Registration		Pending	4/8/2025 3:02 PM
Dates	Registration Date	Insert	New Registration		4/8/2025 3:02:28 PM	4/8/2025 3:02 PM
Dates	Signed By Date	Insert	New Registration			4/8/2025 3:02 PM
Dates	Start Date	Insert	New Registration			4/8/2025 3:02 PM
Terminations	Termination Comments	Insert	New Registration			4/8/2025 3:02 PM
Terminations	Termination Date	Insert	New Registration			4/8/2025 3:02 PM
Terminations	Termination Effective Date	Insert	New Registration			4/8/2025 3:02 PM
Terminations	Termination Reason	Insert	New Registration			4/8/2025 3:02 PM