Healthcare Provider Details

I. General information

NPI: 1568904415
Provider Name (Legal Business Name): SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 9TH ST
HUMBOLDT KS
66748-1809
US

IV. Provider business mailing address

401 S WASHINGTON AVE
IOLA KS
66749-3256
US

V. Phone/Fax

Practice location:
  • Phone: 620-473-3008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAMARA HARPER
Title or Position: CFO
Credential:
Phone: 816-599-9263