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SAINT LUKE'S SOUTH HOSPITAL INC NPI 1588765937


NPI Information

NPI: 1588765937
Provider Name: SAINT LUKE'S SOUTH HOSPITAL, INC

Doing Business As: SAINT LUKE'S SOUTH RETAIL PHARMACY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
12330 METCALF AVE
OVERLAND PARK, KS
ZIP 66213
Phone: (913) 317-7604
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SAINT LUKE'S SOUTH HOSPITAL, INC is a clinic center in Overland Park, KS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SAINT LUKE'S SOUTH HOSPITAL, INC NPI is 1588765937. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Luke's South Retail Pharmacy.

The provider's business location address is:

12330 METCALF AVE
OVERLAND PARK, KS
ZIP 66213-324
Phone: (913) 317-7604
Fax: (913) 317-7597

The provider's authorized official is Lawrence A Wagner .
The authorized official title is Pharmacy Operations Manager and has the following contact phone number (913) 317-7604.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/8/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center209147KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1603988403MEDICAIDMISSOURI
29004128OTHERKANSASMEDICARE PART B
3100332210CMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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