1285754317 NPI number — ST LUKES HOSPITAL OF KANSAS CITY

Table of content: (NPI 1285754317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285754317 NPI number — ST LUKES HOSPITAL OF KANSAS CITY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST LUKES HOSPITAL OF KANSAS CITY
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:
Provider Other Organization Name Type Code:
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:
1285754317
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 930841
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64193-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-932-3013
Provider Business Mailing Address Fax Number:
816-932-6211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12300 METCALF AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66213-1324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-931-3013
Provider Business Practice Location Address Fax Number:
816-932-6211
Provider Enumeration Date:
03/30/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THORPE
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. VP, SAINT LUKE'S HOSPITAL
Authorized Official Telephone Number:
816-932-2000

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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