Healthcare Provider Details
I. General information
NPI: 1801443320
Provider Name (Legal Business Name): ST. LUKE'S SURGERY CENTER OF CHESTERFIELD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2019
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 ST. LUKE'S CENTER DRIVE BLDG B, SUITE 500
CHESTERFIELD MO
63017-3509
US
IV. Provider business mailing address
111 SAINT LUKES CENTER DRIVE BLDG B, SUITE 500
CHESTERFIELD MO
63017-3509
US
V. Phone/Fax
- Phone: 913-387-0510
- Fax:
- Phone: 314-798-7100
- Fax: 314-798-7101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
RAMES
Title or Position: BOARD CHAIR
Credential:
Phone: 314-798-7100