Healthcare Provider Details

I. General information

NPI: 1487075586
Provider Name (Legal Business Name): SAINT LUKES HOSPITAL OF GARNETT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 08/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 N PINE ST
COLONY KS
66015-7279
US

IV. Provider business mailing address

PO BOX 309
GARNETT KS
66032-0309
US

V. Phone/Fax

Practice location:
  • Phone: 785-448-3131
  • Fax:
Mailing address:
  • Phone: 785-448-3131
  • Fax: 785-448-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH002001K
License Number StateKS

VIII. Authorized Official

Name: MR. STEVEN SCHIEBER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 600-214-8104