340B Drug Pricing Program Database
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DSH390049BV ST. LUKES HOSPITAL (Active)
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Main Details
Name
ST. LUKES HOSPITAL
Subdivision Name
ST. LUKE'S HOSPITAL - St Lukes Hospital Bethlehem-SL Care Now Kutztown
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390049BV
Medicare Provider Number
390049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/10/2024
Last Recertification Date
8/21/2024
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
15065 KUTZTOWN RD
ST. LUKE'S CARE NOW KUTZTOWN
KUTZTOWN, PA 19530-9276
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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