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NPI Code Detail

MEDICARE: SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC

MEDICARE: SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10001612OTHERBLUE CROSS SWING

General Provider Information

NPI Number : 1912914888
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC
Provider Business Mailing Address
First Line : 3066 N KENTUCKY ST
Second Line :
City : IOLA
State : KS
Zip : 66749-1951
Country : US
Telephone Number : 620-365-1000
Fax Number : 620-365-1032
Provider Business Practice Location Address
First Line : 3066 N KENTUCKY ST
Second Line :
City : IOLA
State : KS
Zip : 66749-1951
Country : US
Telephone Number : 620-365-1000
Fax Number : 620-365-1032
Authorized Official
Title or Position : VICE PRESIDENT
Name : DAMARA HARPER
Credential :
Telephone Number : 816-599-9263
Provider Enumeration Date : 08/02/2006
Last Update Date : 12/17/2025

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