Healthcare Provider Details

I. General information

NPI: 1902910987
Provider Name (Legal Business Name): ST. LUKE HOSPITALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 N GRAND AVE
FORT THOMAS KY
41075-1793
US

IV. Provider business mailing address

1801 ALEXANDRIA PIKE
HIGHLAND HEIGHTS KY
41076-1159
US

V. Phone/Fax

Practice location:
  • Phone: 859-572-3868
  • Fax: 513-572-3713
Mailing address:
  • Phone: 859-441-6300
  • Fax: 859-441-6395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES P SOMMERKAMP
Title or Position: VP OF FINANCIAL SERVICES
Credential:
Phone: 859-572-3611