Healthcare Provider Details

I. General information

NPI: 1437191095
Provider Name (Legal Business Name): SAINT LUKES HOSPITAL OF CHILLICOTHE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2791 N WASHINGTON ST
CHILLICOTHEE MO
64601-2902
US

IV. Provider business mailing address

2791 N WASHINGTON ST
CHILLICOTHEE MO
64601-2902
US

V. Phone/Fax

Practice location:
  • Phone: 660-646-2682
  • Fax:
Mailing address:
  • Phone: 660-646-2682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN PARDE
Title or Position: CFO
Credential:
Phone: 816-880-5277