340B Drug Pricing Program Database
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DSH390049BQ ST. LUKES HOSPITAL (Active)
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Main Details
Name
ST. LUKES HOSPITAL
Subdivision Name
Allentown Campus - Anesthesiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH390049BQ
Medicare Provider Number
390049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/23/2021
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
1736 Hamilton Street
Allentown, PA 18104-5656
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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