1487714879 NPI number — SAINT LUKE'S EAST HOSPITAL

Table of content: (NPI 1487714879)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487714879 NPI number — SAINT LUKE'S EAST HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAINT LUKE'S EAST HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SAINT LUKE'S EAST-LEE'S SUMMIT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487714879
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 N.E. SAINT LUKE'S BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEE'S SUMMIT
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64086
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-347-5000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 N.E. SAINT LUKE'S BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEE'S SUMMIT
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64086
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-347-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PAGELS
Authorized Official First Name:
GEORGE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
816-347-5000

Provider Taxonomy Codes

  • Taxonomy code: 133N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133NN1002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133VN1005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: X280000 . This is a "PTAN" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".